Search › Oklahoma › 101YP2500X
Ebony Tyler Portis, BHS
NPI 1043576192 · on the registry since 2012
Practice
- Address
- 1900 Ne 36th St Ste 100g
Oklahoma City, OK 73111 - Phone
- (405) 270-0005
- Organisation at this address
- Promises Incorporated
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Sex
- Female
- Record last updated
- 2012-04-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma