Male or Other

Robert S. Porter

Athletic Trainer in Auburn, ME(View on Map)

Full Name

Robert Samuel Porter

NPI Number

1114783149

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/27/2024

Specialties

(Taxonomies)

Code

2255A2300X

Primary Taxonomy

Yes

Licenses

State

Maine

License Number

AT838

Contact
Information

Purpose

Mailing
Location

Address

2 SPRING ST
21 MILLETT DR

City

Mechanic Falls
Auburn

State

ME
ME

Postal Code

04256-6170
04210-4055

Country

US
US

Telephone Number

N/A
(207) 783-0018

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/27/2024

Provider Address

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