Porter, William A
Porter, William A is an individual health care provider with primary practice located at 1880 Lancaster Dr Ne Suite 104, Salem OR 97305-1089. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Porter, William A can be contacted via phone (503) 587-9949.Contact Information
Primary practice address
1880 Lancaster Dr Ne Suite 104
Salem OR 97305-1089
Phone: (503) 587-9949
Fax: (503) 587-9972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5090 | Oregon |
Profile Details
| NPI number | 1578561056 |
|---|---|
| LBN Legal business name | Porter, William A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Dec 20th, 2016 - about 10 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 | 1578561056 | NPPES |
| Oregon | MEDICAID | 042783 |
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