Lance Wesley Port, PA-C
Lance Wesley Port, PA-C is a Physician Assistant in Salmon, Idaho. Qualified in 2021, 5 years ago. Practices with Steele Memorial Medical Center, a 26-clinician group and accepts Medicare assignment.
- Years since qualifying
- 5
- In the registry since
- 2021
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
103 S Daisy StSalmon, ID 83467
Phone: (208) 756-6212
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|
Record details
| NPI number | 1578222188 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | December 10, 2021 |
| Last updated in NPPES | December 10, 2021 |
| Certification date | December 7, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Steele Memorial Medical Center — 26 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |