Provider Demographics
NPI:1265508733
Name:PORTER, HOWARD CHANDLER II (ACSW)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:CHANDLER
Last Name:PORTER
Suffix:II
Gender:M
Credentials:ACSW
Other - Prefix:MR
Other - First Name:HOWARD
Other - Middle Name:CHANDLER
Other - Last Name:PORTER
Other - Suffix:II
Other - Last Name Type:Professional Name
Other - Credentials:ACSW
Mailing Address - Street 1:625 BILLE RD
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-3043
Mailing Address - Country:US
Mailing Address - Phone:530-877-4893
Mailing Address - Fax:
Practice Address - Street 1:805 CEDAR STREET
Practice Address - Street 2:
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969
Practice Address - Country:US
Practice Address - Phone:530-877-5845
Practice Address - Fax:530-877-3976
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor