Individual
DR. COURTNEY PROKOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 947-8087
Mailing address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 947-8087
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
2611
OR
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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