Individual
DR. JAMES L PORILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 PARK PLACE, MISHAWAKA, IN 46545-3519
(574) 273-6787
(574) 968-0882
Mailing address
PO BOX 5909, PORTLAND, OR 97228-5909
(574) 273-6767
(574) 968-7160
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01041309A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100326480A
—
IN
Enumeration date
07/22/2005
Last updated
04/02/2020
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