Courtney Marie Port D.O

NPI 1518194752 - Pediatrics - 208000000X

NPI Details
NPI 1518194752
Gender Female
Enumeration Date 06/15/2009
Last Updated 06/15/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3300 GALLOWS RD
FALLS CHURCH VA, 22042-3307, US
Phone (703) 776-6652
Fax
Business Location
4711 COMMONS DR APT 103
ANNANDALE VA, 22003-6707, US
Phone (202) 321-4151
Fax
Toxanomy
Taxonomy Code 208000000X
License State Virginia
License Number 0116021679
Remove 1518194752 NPI Number
 

According to our database, Courtney Marie Port D.O NPI is 1518194752, taxonomy code is 208000000X and license number is 0116021679, license state is located at Virginia. Courtney Marie Port D.O physically located at 3300 Gallows Rd, Falls Church VA, 22042-3307. NPI Number Courtney Marie Port D.O has the Individual type.

Sponsored links

1518194752 NPI number is provided on an as is basis without warranty of any kind. 1518194752 is maintained by the National Plan & Provider Enumeration System. The contents of Courtney Marie Port D.O are for informational purposes only.