Most Relevant Information
Provider Data
| NPI Number: | 1003476656 |
| Provider Name: | CLAIRE ELIZABETH PORTER PHYSICIAN ASSISTANT |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/17/2019 |
| Last Updated: | 06/17/2019 |
Provider Practice Location
110 IRVING ST NW
WASHINGTON
DC
200103017
Practice Location Phone/Fax
| Phone: | 2028777259 |
| Fax: |
Provider Mailing Location
400 MILAM CT
IRVING
TX
750386288
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |