Diana Lynn Porter, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H3448 Issued in OR

Practice address

1705 Hawthorne Ave.
Grants Pass, OR 97526-9752

Phone

(541) 218-2360

NPI assigned

Jul 12, 2019

Last updated

Jul 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1568014223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 WOLF LN",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975279238",
            "telephone_number": "541-476-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 HAWTHORNE AVE.",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975269752",
            "telephone_number": "541-218-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H3448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dporter@siskiyoucommunityhealthcented.com",
            "affiliation": "N",
            "endpointDescription": "Community Health Center Dental Clinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Dental related patient care",
            "address_1": "1705 Hawthorne Ave.",
            "city": "Grants Pass",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975269752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Anthony Polk, B.S.
• Rachel R Polster, LMT
• Carol Ponte, M.S.
• Carol Lynn Poole
• Francis Poole II, BA SOCIOLOGY
• Karen Christine Porter
• Lauren Poss
• Brian Scott Postma
• Lanette Poteat
• Gwendolyn Kaye Potter

• Dental Hygienist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.