Individual
MS. KATHLEEN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 917-6776
Mailing address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 917-6776
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00051414
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH00051414
PHARMACIST LICENSE
WA
Enumeration date
11/16/2005
Last updated
09/11/2011
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