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Jennifer Portko
NPI 1184011595 · on the registry since 2015
Practice
- Address
- 119 Timmer Dr
Sparta, MI 49345 - Phone
- (616) 295-6406
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-04-23
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 Michigan