Porter, Sara Joy
Porter, Sara Joy is an individual health care provider with primary practice located at 289 E Ellendale Ave Ste 102 , Dallas OR 97338-1500. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Porter, Sara Joy can be contacted via phone (503) 623-5505.Contact Information
Primary practice address
289 E Ellendale Ave Ste 102
Dallas OR 97338-1500
Phone: (503) 623-5505
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 10818 | Oregon |
Profile Details
| NPI number | 1376795872 |
|---|---|
| LBN Legal business name | Porter, Sara Joy |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2008 |
| Last updated | Oct 15th, 2008 - about 18 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 | 1376795872 | NPPES |
| Oregon | Other | 10818 | OREGON MASSAGE BOARD |
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