Provider Demographics
NPI:1356992358
Name:PORS, JENNIFER DENISE (MD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:DENISE
Last Name:PORS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 PASTEUR DR RM L235, DEPARTMENT OF PATHOLOGY
Mailing Address - Street 2:SANTA CLARA COUNTY
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2200
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3203 910 W 10TH AVENUE JENNEFER PORS,
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE VANCOUV
Practice Address - City:VANCOUVER
Practice Address - State:BC
Practice Address - Zip Code:V5Z 4E3
Practice Address - Country:CA
Practice Address - Phone:604-875-4111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-23
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program