| Mr Jeffery Porter, | |
|
1309 Bennett Ave, Burley, ID 83318-2676 | |
| (208) 678-7796 | |
| Not Available |
| Full Name | Mr Jeffery Porter |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1309 Bennett Ave, Burley, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568823060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-37640 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeffery Porter, 2350 Oakley Ave, Burley, ID 83318-2924 Ph: (208) 831-6631 | Mr Jeffery Porter, 1309 Bennett Ave, Burley, ID 83318-2676 Ph: (208) 678-7796 |
Gina Bosco, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Overland Ave, Burley, ID 83318 Phone: 208-732-8565 Fax: 208-732-8566 | |
Jordan K. Robins, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1309 Bennett Ave, Burley, ID 83318 Phone: 208-678-0101 Fax: 208-678-0303 | |
Mr. Mathew G Bowden, CSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1309 Bennett Ave, Burley, ID 83318 Phone: 208-678-0101 | |
Tamara Wilkinson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1320 Bennett Ave # B, Burley, ID 83318 Phone: 208-678-0101 Fax: 208-678-0303 |