| NPI | 1649383951 |
|---|---|
| Doing Business As | PORTAGE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | ELAINE M. LAMBERT President 814-534-1630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2010-04-21 |