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1851519375
ROBERT DEACON PROUTY
PORTLAND, OR
NPI
1851519375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: OR 093000292RN)
Enumeration Date
2007-04-22
Last Update Date
2007-07-08
Business Address
Mr. ROBERT DEACON PROUTY RN
722 NE 162ND AVE
PORTLAND, OR 97230-5760
Phone number: 503-408-5016
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Mailing Address
Mr. ROBERT DEACON PROUTY RN
10590 NW LEE ST
PORTLAND, OR 97229-6249
Phone number: 503-475-4013
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