Porter, Lisa Mary
Porter, Lisa Mary is an individual health care provider with primary practice located at 5232 N Interstate Ave , Portland OR 97217-4023. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Porter, Lisa Mary can be contacted via phone (503) 449-0788.Contact Information
Primary practice address
5232 N Interstate Ave
Portland OR 97217-4023
Phone: (503) 449-0788
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 995621 | Oregon |
Profile Details
NPI number | 1477512531 |
---|---|
LBN Legal business name | Porter, Lisa Mary |
Credentials | Occupational Therapist (OT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 18th, 2006 |
Last updated | Aug 26th, 2011 - about 13 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 | 1477512531 | NPPES |
Oregon | MEDICAID | 231888 |
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