STEPHANIE PORTER

PORTLAND, OR
NPI1053144675
Former NameSTEPHANIE HENRY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy247200000X Technician, Other
(Licence: OR  BAP-FA-10213306)
Additional Taxonomies224900000X Mastectomy Fitter
(Licence: OR  BAP-TA-10201665)
405300000X Prevention Professional
(Licence: OR  BAP-TA-10201665)
Enumeration Date2024-08-20
Last Update Date2024-08-20
Business Address
STEPHANIE PORTER
833 SE MAIN STREET #220
PORTLAND, OR 97214
Phone number: 971-359-3276
Mailing Address
STEPHANIE PORTER
6841 SE BOISE STREET #A
PORTLAND, OR 97206
Phone number: 971-359-3276