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Samuel Portis, LPN

NPI 1548498637 · on the registry since 2009 · sole proprietor

Practice

Address
3449 E 108th St
Cleveland, OH 44104
Phone
(216) 374-8646
Fax
(216) 991-2944

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-06-26

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 Ohio