Individual
EDWARD JAMES PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
20 E. J ST., DEER PARK, WA 99006
(509) 276-8809
Mailing address
PO BOX 1227, DEER PARK, WA 99006-1227
(509) 276-8809
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002445
WA
335E00000X
Prosthetic/Orthotic Supplier
CH00002445
WA
Other
Enumeration date
03/12/2007
Last updated
03/20/2024
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