Clyde D Portis
Clyde D Portis is a Lodging Provider in Hornbeck, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
377 Charles Miller RdHornbeck, LA 71439-1610
Phone: (346) 435-4892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Lodging Provider (primary) | Taxonomy 177F00000X |
|---|
Record details
| NPI number | 1699599035 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 12, 2024 |
| Last updated in NPPES | November 12, 2024 |
| Certification date | November 12, 2024 |
| Mailing address | 377 Charles Miller Rd, Hornbeck, LA 71439-1610 |