Amanda Porto, CDPT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

60812037 Issued in WA

Practice address

3737 N Shelton Springs Rd
Shelton, WA 98584-9105

Phone

(360) 426-4471

NPI assigned

Apr 17, 2018

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

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1841787710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 15TH AVE SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985020509",
            "telephone_number": "360-301-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 N SHELTON SPRINGS RD",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985849105",
            "telephone_number": "360-426-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTO",
        "first_name": "AMANDA",
        "credential": "CDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60812037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmacy Operations, Inc (Medicine Shoppe)
• Pioneer School District
• Therese Eileen Pizanti, CPNP
• Jeffrey James Poland, FP-C
• Laciel Porter
• Adelle Pouliot, A.S., A.A.C., CPC
• Justin Allen Powers
• Thomas Russell Prieskorn, PA-C
• Proactive Supportive Housing Services, Inc.
• Jennifer Joline Proctor

• Addiction (Substance Use Disorder) Counselor in Shelton, WA
• Providers in Shelton, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.