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Contact Information

CHARLES A PORTERA JR, MD
3851 PIPER ST STE U230
ANCHORAGE, AK99508-6901
 Phone: 907-868-2075
 Fax: 907-312-5882
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHARLES A PORTERA JR · (Male)

NPI Number 1467412734
Status Active
Credentials MD
Entity Individual
Enumeration date 03/23/2006
Last updated 10/29/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 6982
  • AK Medicaid 151809
Hospital affiliation(s)
  • ALASKA REGIONAL HOSPITAL - (Acute Care)
    2801 DEBARR ROAD
    ANCHORAGE, AK 99508
  • CENTRAL PENINSULA GENERAL HOSPITAL - (Acute Care)
    250 HOSPITAL PLACE
    SOLDOTNA, AK 99669
  • PROVIDENCE ALASKA MEDICAL CENTER - (Acute Care)
    BOX 196604
    ANCHORAGE, AK 99508
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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