SearchIdaho208600000X

Dustin Porter

NPI 1205178399 · on the registry since 2013

Practice

Address
1501 Hiland Ave Ste H
Burley, ID 83318
Phone
(208) 677-6082
Organisation at this address
Rnba Llc
Medical Lab Service
Anesthesia West, Pa
Wayne H Blauer Md Pa
Ihc Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
68

Additional practice sites

  • 550 S Jackson St, Louisville, KY

Registry record

Primary taxonomy
208600000X
208600000X
Also registered as
390200000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-03

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 Idaho