Steven Dean Porter, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1723T Issued in OR

Practice address

4849 NE 138TH Ave
Portland, OR 97230-3401

Phone

(503) 256-7940

Fax

(503) 256-7940

NPI assigned

May 4, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Steven Dean Porter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295947745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E SHERIDAN ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322724",
            "telephone_number": "503-256-7940",
            "fax_number": "503-256-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 NE 138TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972303401",
            "telephone_number": "503-256-7940",
            "fax_number": "503-256-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "STEVEN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1723T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "PORTER",
            "middle_name": "DEAN",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Lauren Porter
• Raychel Lavonne Porter, CRM
• Sara Ann Porter, ARNP
• Scott Porter
• Stephanie Porter
• Tau Porter
• Veronica Porter, RN
• Violet Sky Porter
• Porthaven SNF Healthcare LLC
• Jahir Portillo

• All providers in Portland, OR
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.