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

ELAINE PORTER, MD

Active

ELAINE PORTER, MD is a Family Medicine healthcare provider located in SHASTA LAKE, California. NPI 1972522613 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SHASTA LAKE, CA

Registration Details

NPI Number
1972522613
Provider Type
Individual
Gender
Female
NPI Issued
Jul 19, 2006 (20.057516517037 yrs)
Last Updated
Mar 22, 2016
License
A61020 (CA)

Practice Information

Address
4215 FRONT ST
SHASTA LAKE, CA, 960199430
Browse CA providers · Browse ZIP 96019
Phone
5302465710
Fax
5302417838
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in SHASTA LAKE, CA

Name Credential NPI
DR. RONALD G CHAMBERS I M.D. 1215920319
DR. HAROLD S. BUDHRAM M.D 1871518761
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.