Timothy Eugene Porter C-PRSS

NPI 1275777203 - Counselor - 101Y00000X

NPI Details
NPI 1275777203
Gender Male
Enumeration Date 04/21/2009
Last Updated 04/21/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1140 N HUDSON AVE
OKLAHOMA CITY OK, 73103-3918, US
Phone (405) 272-0660
Fax
Business Location
4436 NW 50TH ST
OKLAHOMA CITY OK, 73112-2212, US
Phone (405) 272-0660
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Mr. Timothy Eugene Porter C-PRSS NPI is 1275777203, taxonomy code is 101Y00000X Timothy Eugene Porter C-PRSS physically located at 1140 N Hudson Ave, Oklahoma City OK, 73103-3918. NPI Number Timothy Eugene Porter C-PRSS has the Individual type.

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1275777203 NPI number is provided on an as is basis without warranty of any kind. 1275777203 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Eugene Porter C-PRSS are for informational purposes only.