Lee W Porter, NP, CNS-PMH
Nurse Practitioner, Psych/Mental Health in Keizer, OR. Individual provider (NPI-1).
NPI number1013932425
StatusActive
Last updated in NPPESDec 20, 2022
Details
- NPI
- 1013932425
- Entity type
- Individual (NPI-1)
- Name
- Mr. Lee W Porter
- Credential
- NP, CNS-PMH
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2006
- Certification date
- Dec 20, 2022
- Last updated
- Dec 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 202002489CNS-PP | OR | Yes |
| 208VP0000X | 202002489CNS-PP | OR | ||
| 2084N0600X | 163552 | NC | ||
| 363LA2200X | Nurse Practitioner, Adult Health | 201501835NP-PP | OR | |
| 364SP0808X | Clinical Nurse Specialist, Psych/Mental Health | 201501835NP-PP | OR | |
| 364SP0809X | Clinical Nurse Specialist, Psych/Mental Health, Adult | 202002489CNS-PP | OR | |
| 364SP0811X | Clinical Nurse Specialist, Psych/Mental Health, Chronically Ill | 201501835NP-PP | OR | |
| 364SP0813X | Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric | 202002489CNS-PP | OR |
Practice location
5305 River Rd N Ste BKeizer, OR 97303-5324
Phone 541-896-1555
Mailing address
65 Division Ave Unit 299Eugene, OR 97404-2485
Phone 541-896-1555 · Fax 888-562-3550
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All 18 Psychiatric/Mental Health Nurse Practitioner providers in Keizer · All 608 providers in Keizer
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