Individual
DR. AARON R. PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
745 NE 122ND AVE, PORTLAND, OR 97230-2001
(503) 252-0241
Mailing address
5519 SE 61ST AVE, PORTLAND, OR 97206-5401
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
350325
OR
Other
Enumeration date
11/26/2015
Last updated
11/26/2015
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