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Catherine Lynn Porter, PA-C

Physician Assistant in Bemidji, MN. Individual provider (NPI-1).

NPI number1407367261
StatusActive
Last updated in NPPESApr 2, 2024

Details

NPI
1407367261
Entity type
Individual (NPI-1)
Name
Mrs. Catherine Lynn Porter
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Oct 19, 2017
Certification date
Apr 2, 2024
Last updated
Apr 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant13062MNYes
363AM0700X Physician Assistant, MedicalMA059450PA
363AM0700X Physician Assistant, Medical13062MN

Practice location

1611 Anne St Nw
Bemidji, MN 56601-5114

Phone 218-333-5000

Mailing address

Po Box 5074
Sioux Falls, SD 57117-5074

Phone 218-333-5000

Other practice locations

4516 Browns Hill Rd
Pittsburgh, PA 15217-2917

Phone 404-457-1268

4516 Browns Hill Rd
Pittsburgh, PA 15217-2917

Phone 404-457-1268

135 Pine Tree Dr
Bigfork, MN 56628

Phone 218-743-3232

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