Provider Demographics
NPI:1578744660
Name:PORTERFIELD, EMILY J (RD, LDN)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:J
Last Name:PORTERFIELD
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 FOUR MILE DR
Mailing Address - Street 2:SUITE 16
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-2665
Mailing Address - Country:US
Mailing Address - Phone:406-756-7634
Mailing Address - Fax:406-756-7643
Practice Address - Street 1:80 FOUR MILE DR
Practice Address - Street 2:SUITE 16
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-2665
Practice Address - Country:US
Practice Address - Phone:406-756-7634
Practice Address - Fax:406-756-7643
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-18
Last Update Date:2007-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT505133N00000X
133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist