KERRY ANNE SCULLY PROCTOR

THE DALLES, OR
NPI1235353863
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: OR  MD27633)
Additional Taxonomies207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IA  36695)
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: UT  5223915-1205)
Enumeration Date2007-04-13
Last Update Date2007-12-14
Business Address
-- KERRY ANNE SCULLY PROCTOR MD
1700 E 19TH ST
THE DALLES, OR 97058-3317
Phone number: 541-296-1111
Mailing Address
-- KERRY ANNE SCULLY PROCTOR MD
1700 E 19TH ST
THE DALLES, OR 97058-3317
Phone number: 541-296-1111