Provider Demographics
NPI:1154564409
Name:PORTER, CATHERINE E (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:E
Last Name:PORTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5500 NW EXPRESSWAY STE E
Mailing Address - Street 2:
Mailing Address - City:WARR ACRES
Mailing Address - State:OK
Mailing Address - Zip Code:73132-5218
Mailing Address - Country:US
Mailing Address - Phone:405-943-5677
Mailing Address - Fax:405-943-6140
Practice Address - Street 1:5500 NW EXPRESSWAY STE E
Practice Address - Street 2:
Practice Address - City:WARR ACRES
Practice Address - State:OK
Practice Address - Zip Code:73132-5218
Practice Address - Country:US
Practice Address - Phone:405-943-5677
Practice Address - Fax:405-943-6140
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-16
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN618282084N0400X
OK289572084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty