DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIMOTHY RAY PORTER

Active Sole Proprietor

TIMOTHY RAY PORTER is a Community/Behavioral Health healthcare provider located in PROCTORVILLE, Ohio. NPI 1245062397 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · PROCTORVILLE, OH

Registration Details

NPI Number
1245062397
Provider Type
Individual
Gender
Male
NPI Issued
Aug 16, 2024 (1.9804619552651 yrs)
Last Updated
Mar 10, 2025
Sole Proprietor
Yes

Practice Information

Address
1159 COUNTY ROAD 411
PROCTORVILLE, OH, 456699409
Browse OH providers · Browse ZIP 45669
Phone
7408619171
Primary Specialty
Community/Behavioral Health
251S00000X
Additional Specialty
Homemaker
Additional Specialty
Community/Behavioral Health
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.