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Braxton Porter
Student in an Organized Health Care Education/Training Program in Newberg, Oregon
NPI 1902688138

Braxton Porter is a Student in an Organized Health Care Education/Training Program based in Ogden, OR. Braxton Porter practices in Newberg, OR. The NPI Number for Braxton Porter is 1902688138 and holds a License No. (Oregon).

The current practice location address for Braxton Porter is 448 N Werth Blvd, Newberg, OR and can be reached out via phone at 503-554-2521. You can also correspond with Braxton Porter through the mailing address at 3338 W 1700 N, OGDEN, UT - 84404-9142 (mailing address contact number: 801-866-4791).

Location: 448 N Werth Blvd, Newberg, OR, 84404-9142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902688138
Provider Name
Braxton Porter
Credential
Provider Entity Type
Individual
Gender
Male
Address
448 N Werth Blvd, Newberg, OR, 84404-9142
Phone Number
503-554-2521
Fax Number
Provider Enumeration Date
10/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
448 N Werth Blvd
City
Newberg
State
Oregon
Zip
97132-7500
Phone Number
503-554-2521
Fax Number
person
Provider Business Mailing Address Details
Address
448 N Werth Blvd
City
Newberg
State
Oregon
Zip
97132-7500
Phone Number
503-554-2521
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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