Porter, Lee W
Porter, Lee W is an individual health care provider with primary practice located at 5305 River Rd N Ste B , Keizer OR 97303-5324. He recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Chronically Ill, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Geropsychiatric. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Porter, Lee W can be contacted via phone (541) 896-1555.Contact Information
Primary practice address
5305 River Rd N Ste B
Keizer OR 97303-5324
Phone: (541) 896-1555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 202002489CNS-PP | Oregon |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 163552 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 201501835NP-PP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 201501835NP-PP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 202002489CNS-PP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Chronically Ill | 364SP0811X | 201501835NP-PP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Geropsychiatric | 364SP0813X | 202002489CNS-PP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 202002489CNS-PP | Oregon |
Profile Details
| NPI number | 1013932425 |
|---|---|
| LBN Legal business name | Porter, Lee W |
| Credentials | NP, CNS-PMH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Dec 20th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013932425 | NPPES |
| Oregon | Other | 3072541580 | PECOS PAC ID |
| Oregon | Other | I20160510002557 | PECOS PAC ID |
| Oregon | Other | 131VX | PECOS PAC ID |
| Oregon | MEDICAID | 500709395 | PECOS PAC ID |
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