Porter, Justin Ross

Porter, Justin Ross is an individual health care provider with primary practice located at 3601 Nw 138Th St , Oklahoma City OK 73134-2513. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Porter, Justin Ross can be contacted via phone (405) 242-4100.

Contact Information

Primary practice address
3601 Nw 138Th St Oklahoma City OK 73134-2513
Phone: (405) 242-4100
Fax: (405) 775-9356
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 29694 Oklahoma
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 29694 Oklahoma

Profile Details

NPI number 1104098961
LBN Legal business name Porter, Justin Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2008
Last updated Nov 12th, 2014 - about 12 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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