ROBERT DEACON PROUTY

PORTLAND, OR
NPI1851519375
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: OR  093000292RN)
Enumeration Date2007-04-22
Last Update Date2007-07-08
Business Address
Mr. ROBERT DEACON PROUTY RN
722 NE 162ND AVE
PORTLAND, OR 97230-5760
Phone number: 503-408-5016
Mailing Address
Mr. ROBERT DEACON PROUTY RN
10590 NW LEE ST
PORTLAND, OR 97229-6249
Phone number: 503-475-4013