Prouty, Robert Deacon
Prouty, Robert Deacon is an individual health care provider with primary practice located at 722 Ne 162Nd Ave , Portland OR 97230-5760. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as his primary health care specialty. Prouty, Robert Deacon can be contacted via phone (503) 408-5016.Contact Information
Primary practice address
722 Ne 162Nd Ave
Portland OR 97230-5760
Phone: (503) 408-5016
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent | 163WP0807X | Oregon |
Profile Details
| NPI number | 1851519375 |
|---|---|
| LBN Legal business name | Prouty, Robert Deacon |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Shumate, Donald Byron
722 Ne 162Nd Ave , Portland OR 97230-5760 -
Katz, Anita Marie
5410 S Macadam Ave Ste 255 , Portland OR 97239-3850 -
Dale, Judith R
1500 Ne Irving St Suite 250, Portland OR 97232-2243 -
Gabel, Desiree Nicole
3415 Se Powell Blvd , Portland OR 97202-3371 -
Wiessner, Christy Ann
3415 Se Powell Blvd , Portland OR 97202-3371 -
Campbell, Holly Bea
3415 Se Powell Blvd , Portland OR 97202-3371 -
Mason, Carol B.
722 Ne 162Nd Avenue , Portland OR 97230 -
Stampfer, Carol Rogers
4212 Ne Broadway St , Portland OR 97213-1422