Mary Grace Porter D.O

NPI 1477739720 - Family Medicine - 207Q00000X

NPI Details
NPI 1477739720
Gender Female
Enumeration Date 01/17/2008
Last Updated 01/28/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
506 4TH ST.
GRANDE RONDE HOSPITAL REGIONAL MEDICAL CLINIC
LA GRANDE OR, 97850, US
Phone (541) 663-3138
Fax (541) 975-5120
Business Location
506 4TH ST.
LA GRANDE OR, 97850, US
Phone (541) 663-3138
Fax (541) 975-5120
Toxanomy
Taxonomy Code 207Q00000X
License State Oregon
License Number DO28026
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According to our database, Dr. Mary Grace Porter D.O NPI is 1477739720, taxonomy code is 207Q00000X and license number is DO28026, license state is located at Oregon. Mary Grace Porter D.O physically located at 506 4th St., La Grande OR, 97850. NPI Number Mary Grace Porter D.O has the Individual type.

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1477739720 NPI number is provided on an as is basis without warranty of any kind. 1477739720 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Grace Porter D.O are for informational purposes only.