Portis, Raymond L.

Portis, Raymond L. is an individual health care provider with primary practice located at 1200 N State St Suite 480, Jackson MS 39202-2000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Portis, Raymond L. can be contacted via phone (601) 352-2273.

Contact Information

Primary practice address
1200 N State St Suite 480 Jackson MS 39202-2000
Fax: (601) 714-3415
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 21256 Mississippi
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 21256 Mississippi

Profile Details

NPI number 1437312915
LBN Legal business name Portis, Raymond L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2008
Last updated Feb 5th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437312915 NPPES
Mississippi MEDICAID 00809533

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