Courtney Marie Port
D.O | Pediatrics | Female
Courtney Marie Port, D.O is a Falls Church, Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Courtney Marie Port is
3300 Gallows Rd, Falls Church, Virginia - 22042. She can be contacted on phone at
703-776-6652.
Courtney Marie Port is a sole proprietor of her business.
NPI number (Unique professional ID) for Courtney Marie Port is
1518194752 which was assigned by NPPES on 15 Jun, 2009 and it was last updated on 19 Aug, 2021.
Courtney Marie Port license number is
0102203284 for Pediatrics (208000000X) in Virginia.
Courtney Marie Port is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Courtney Marie Port basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Courtney Marie Port |
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| Credential : | D.O |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Courtney Marie Port address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3300 Gallows Rd
Falls Church, VA, 22042
United States |
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| Phone Number : | 703-776-6652 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1518194752 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Jun, 2009 |
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| Last Updated On : | 19 Aug, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Courtney Marie Port are as mentioned. Primary taxonomy code for Courtney Marie Port, D.O is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 0116021679 | VA |
| 208M00000X | Hospitalist | No | 0102203284 | VA |
| 208000000X | Pediatrics | Yes | 0102203284 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Courtney Marie Port such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0102203284 | MEDICAID | VA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3300 Gallows Rd
Falls Church, VA, 22042-3307
United States |
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| Phone Number : | 202-321-4151 |
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Business Location:
Patients can refer following map for directions to
Courtney Marie Port practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.