person
Mr. Robert Deacon Prouty, RN
Child & Adolescent Psychiatric/Mental Health Registered Nurse in Portland, Oregon
NPI 1851519375

Robert Deacon Prouty is a Child & Adolescent Psychiatric/Mental Health Registered Nurse based in Portland, OR and is specialized in Psychiatric/Mental Health, Child & Adolescent. Robert Deacon Prouty practices in Portland, OR and has the professional credentials of RN. The NPI Number for Robert Deacon Prouty is 1851519375 and holds a License No. (Oregon).

The current practice location address for Robert Deacon Prouty is 722 Ne 162Nd Ave, Portland, OR and can be reached out via phone at 503-408-5016.

Location: 722 Ne 162Nd Ave, Portland, OR, 97229-6249
person
Provider Profile Details
NPI Number
1851519375
Provider Name
Robert Deacon Prouty
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
722 Ne 162Nd Ave, Portland, OR, 97229-6249
Phone Number
503-408-5016
Fax Number
Provider Enumeration Date
04/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
722 Ne 162Nd Ave
City
State
Zip
97230-5760
Phone Number
503-408-5016
Fax Number
person
Provider Business Mailing Address Details
Address
722 Ne 162Nd Ave
City
State
Zip
97230-5760
Phone Number
503-408-5016
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
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