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Calista Porter

Student in an Organized Health Care Education/Training Program in Lacey, WA. Individual provider (NPI-1).

NPI number1932089232
StatusActive
Last updated in NPPESSep 5, 2025

Details

NPI
1932089232
Entity type
Individual (NPI-1)
Name
Calista Porter
Sex
Female
Sole proprietor
No
Enumeration date
Sep 5, 2025
Certification date
Sep 5, 2025
Last updated
Sep 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

8284 28th Ct Ne Ste A
Lacey, WA 98516-7161

Phone 360-915-3221 · Fax 360-890-4099

Mailing address

8284 28th Ct Ne Ste A
Lacey, WA 98516-7161

Phone 360-915-3221 · Fax 360-890-4099

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