Individual
WILLIAM JAY PORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
181 MAIN ST, NORWAY, ME 04268-5648
(207) 743-5933
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
013618
ME
Other
Enumeration date
10/03/2005
Last updated
07/16/2007
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