Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK PHILIP PORTORSNOK
ActiveJACK PHILIP PORTORSNOK is a Behavior Analyst healthcare provider located in TACOMA, Washington. NPI 1114709144 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · TACOMA, WA
Registration Details
- NPI Number
- 1114709144
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2023 (2.8098520473542 yrs)
- Last Updated
- Oct 16, 2023
- License
-
CB61440913 (WA)
Practice Information
- Address
-
3680 S CEDAR STTACOMA, WA, 984095728Browse WA providers · Browse ZIP 98409
- Phone
- 2063138840
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in TACOMA, WA
| Name | Credential | NPI |
|---|---|---|
| KRISTINA LOUISE MOSLEY | M ED. BCBA | 1073838298 |
| LINDSEY WILSON | — | 1790087203 |
| MRS. VERONIKA WILLIAMSON | BCABA | 1447556444 |
| MS. KIMBERLY KOKIAS | BCBA | 1114217056 |
| KATHRYN HOLLEY | BCBA | 1437493939 |
| MRS. BRENDA ANN SANDERS | — | 1649515768 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.