Proctor, Julie A
Proctor, Julie A is an sole proprietor health care provider with primary practice located at 24800 Se Stark St , Gresham OR 97030-3378. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Proctor, Julie A can be contacted via phone (503) 674-1122.Contact Information
Primary practice address
24800 Se Stark St
Gresham OR 97030-3378
Phone: (503) 674-1122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200650016NP | Oregon |
Profile Details
| NPI number | 1346340361 |
|---|---|
| LBN Legal business name | Proctor, Julie A |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Nov 12th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346340361 | NPPES |
| Oregon | MEDICAID | 000494 |
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