Search › Idaho › 207N00000X
Dustin Portela, D.O
NPI 1588002547 · on the registry since 2013 · sole proprietor
Practice
- Address
- 6051 N Eagle Rd
Boise, ID 83713 - Phone
- (208) 519-4333
- Organisation at this address
- Clinton Clark Dpm Llc
1st Class Dentures, Llc
Boise Podiatry Clinic, P. A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 999 N Curtis Rd Ste 307, Boise, ID
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Also registered as
- 390200000X
390200000X - Licence states on file
- MI, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-27
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