STEPHEN PROCTOR
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1487009163- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 9900 SE SUNNYSIDE RD, CLACKAMAS, OR, 970159777
- Phone
- (800) 813-2000
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
License: NC
Urology
Primary License: OR #MD205430