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CMS Registered

Dr. Dustin Portela, D.O.

BOISE, Idaho

NPI 1588002547

Reveal Contact Details

Practice locations

Primary practice site

BOISE, ID

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Additional site

BOISE, ID

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Taxonomy & specialties

207N00000XPrimary

Dermatology

390200000X

Student in an Organized Health Care Education/Training Program

State licenses

  • O-1052ID
  • 5101020649MI

License numbers are as self-reported to CMS. Verify with the state medical board before contracting.