Van David Portlock
Van David Portlock is a Case Manager/Care Coordinator in San Francisco, California. Practices as a sole proprietor. Registered with an NPI since 2009.
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
730 Eddy St Rm 204San Francisco, CA 94109-7846
Phone: (415) 353-5655
Fax: (415) 673-1266
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1114153012 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 5, 2009 |
| Last updated in NPPES | August 25, 2022 |
| Certification date | August 25, 2022 |
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