Individual
TRICIA CHLARSON PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
12503 SE MILL PLAIN BLVD STE 123, VANCOUVER, WA 98684-4007
(360) 215-1550
Mailing address
5512 NE 109TH CT STE I, VANCOUVER, WA 98662-6175
(360) 200-5273
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP-61012009
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61012009
WA
Other
Enumeration date
11/11/2019
Last updated
01/07/2022
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