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NPI Code Detail

MEDICARE: DONITA M PORTER

MEDICARE: DONITA M PORTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideHHA200006494DC

General Provider Information

NPI Number : 1174452106
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONITA M PORTER
Provider Business Mailing Address
First Line : 4422 1ST ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-4909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4422 1ST ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-4909
Country : US
Telephone Number : 202-498-3859
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2026
Last Update Date : 05/15/2026

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Directions to “ DONITA M PORTER ” Practice Location

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