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:
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Health care specialties

SpecialtyCodeLicense #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 15 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 1477512531 NPPES
Oregon MEDICAID 231888

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