Search › Idaho › 363A00000X
Robert Porter, PA-C
NPI 1861565988 · on the registry since 2006
Practice
- Address
- 190 E Bannock St
Boise, ID 83712 - Phone
- (480) 688-6930
- Organisation at this address
- St. Lukes
Picu Associates, Llc
St. Luke'S Children'S
St. Luke'S Health System
Boise Pathology Group P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 695
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363A00000X - Licence states on file
- AZ, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-12
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