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Clyde Portis — NPI 1699599035, Hornbeck, LA | NPI Central

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Clyde Portis

NPI 1699599035 · Lodging Provider · Hornbeck, LA

Provider details

NPI number: 1699599035
Entity type: Individual
Primary specialty: Lodging ProviderOther Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Lodging ProviderPrimary177F00000X
Other Service Providers

Practice location

377 Charles Miller Rd

Hornbeck, LA 71439-1610

Phone: (346) 435-4892

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

377 Charles Miller Rd

Hornbeck, LA 71439-1610

Registry dates

Enumerated: 2024-11-12
Last updated: 2024-11-12
Certified: 2024-11-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.