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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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.

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