Porter, Mary Grace
Porter, Mary Grace is an individual health care provider with primary practice located at 506 4Th St. Grande Ronde Hospital Regional Medical Clinic, La Grande OR 97850. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Porter, Mary Grace can be contacted via phone (541) 663-3138.Contact Information
Primary practice address
506 4Th St. Grande Ronde Hospital Regional Medical Clinic
La Grande OR 97850
Phone: (541) 663-3138
Fax: (541) 975-5120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO28026 | Oregon |
Profile Details
| NPI number | 1477739720 |
|---|---|
| LBN Legal business name | Porter, Mary Grace |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2008 |
| Last updated | Jun 22nd, 2021 - about 5 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 | 1477739720 | NPPES |
| Oregon | MEDICAID | 218112 |
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