| Doctor Name: | ANNA LEE PORTER |
| NPI Number: | 1568658730 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 441 N Main St Alturas, CA - 961013457 |
| Business Phone Number: | 5302336312 |
| Business Fax Number: | 5302335311 |
| Mailing Address: | 441 N Main St, ALTURAS |
| State: | CA |
| Postal Code: | 961013457 |
| Phone Number: | 5302336312 |
| Fax Number: | 5302335311 |
| NPI Enumeration Date: | 09/20/2007 |
| NPI Last Update Date: | 09/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |