JOHN RICHARD PORTER

TACOMA, WA
NPI1336183037
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10002496)
Enumeration Date2006-06-15
Last Update Date2007-07-08
Business Address
Mr. JOHN RICHARD PORTER PA-C
9040 JACKSON AVE MAMC FAMILY MED DEPT
TACOMA, WA 98431-1100
Phone number: 253-968-0770
Mailing Address
Mr. JOHN RICHARD PORTER PA-C
7024 CAMEO DR SW
LAKEWOOD, WA 98498-3417
Phone number: 253-582-3555
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