Individual
ADINA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
768 S A ST, WASHOUGAL, WA 98671-2224
(360) 606-2568
Mailing address
768 S A ST, WASHOUGAL, WA 98671-2224
(360) 606-2568
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60399974
WA
Other
Enumeration date
12/08/2013
Last updated
12/08/2013
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