Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB RUSSELL PORTER, D.O
Active Sole ProprietorJACOB RUSSELL PORTER, D.O is a Emergency Medicine healthcare provider located in SALT LAKE CITY, Utah. NPI 1588198063 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1588198063
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 12, 2017 (9.3243064212263 yrs)
- Last Updated
- Aug 18, 2020
- License
-
00000000 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
333 N 300 WSALT LAKE CITY, UT, 841031215Browse UT providers · Browse ZIP 84103
- Phone
- 0146374158
- Primary Specialty
-
Emergency Medicine
207P00000X
Other Emergency Medicine Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| DEANNE LONG | MD | 1023087343 |
| RUSSELL BRADLEY | MD | 1376502013 |
| JAMES ANTINORI | MD | 1447210513 |
| KRISTEN JAHN | MD | 1013977537 |
| MARIAN SERRA | MD | 1013979129 |
| PETER P TAILLAC | MD | 1467414581 |
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.