Port, David Charles
Port, David Charles is an individual health care provider with primary practice located at 340 Ne Maple St , Pullman WA 99163-4120. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Port, David Charles can be contacted via phone (509) 334-1133.Contact Information
Primary practice address
340 Ne Maple St
Pullman WA 99163-4120
Phone: (509) 334-1133
Fax: (509) 332-1608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | RC00017858 | Washington |
Profile Details
| NPI number | 1376774786 |
|---|---|
| LBN Legal business name | Port, David Charles |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2009 |
| Last updated | Aug 3rd, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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