Provider Demographics
NPI:1356900484
Name:HAIR MATTERS
Entity type:Organization
Organization Name:HAIR MATTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:R
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-216-1016
Mailing Address - Street 1:102 SOUTH ST # 2
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-4443
Mailing Address - Country:US
Mailing Address - Phone:207-216-1016
Mailing Address - Fax:
Practice Address - Street 1:37 OCEAN ST
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-2827
Practice Address - Country:US
Practice Address - Phone:207-216-1016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251B00000XAgenciesCase Management
No261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology
No335E00000XSuppliersProsthetic/Orthotic Supplier