Individual
KATHERINE ALBIE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1661 EDGEWATER ST NW STE 200, SALEM, OR 97304-4709
(503) 730-7231
(503) 730-7231
Mailing address
192 CARNELIA ST SE, SALEM, OR 97306-1933
(503) 730-7231
(503) 730-7231
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
20041589RN
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
201908398
OR
Other
Enumeration date
01/22/2007
Last updated
09/22/2019
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