Ms Julie A Proctor, FNP-BC | |
24800 Se Stark St, Gresham, OR 97030-3378 | |
(503) 674-1122 | |
Not Available |
Full Name | Ms Julie A Proctor |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 20 Years |
Location | 24800 Se Stark St, Gresham, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346340361 | NPI | - | NPPES |
000494 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 200650016NP (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advantage Orthopedic And Sports Medicine Clinic Llp | 9335123868 | 6 |
Entity Name | Advantage Orthopedic And Sports Medicine Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598798365 PECOS PAC ID: 9335123868 Enrollment ID: O20040614001211 |
Mailing Address | Practice Location Address |
---|---|
Ms Julie A Proctor, FNP-BC 4233 Se 182nd Ave Ste 362, Gresham, OR 97030-5082 Ph: (503) 807-8006 | Ms Julie A Proctor, FNP-BC 24800 Se Stark St, Gresham, OR 97030-3378 Ph: (503) 674-1122 |
Vivian B Vargo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Ne 8th St, Gresham, OR 97030 Phone: 503-988-5155 Fax: 503-988-5185 | |
Elana Underwood Scharff, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030 Phone: 503-674-1520 Fax: 503-674-1599 | |
Renae Rykaczewski, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Ne 8th St Ste 300, Gresham, OR 97030 Phone: 530-988-5155 | |
Alma San Juan, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030 Phone: 503-674-1520 | |
Mrs. Crystal Luna, MSN, APRN-RX, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2850 Se Powell Valley Rd, Gresham, OR 97080 Phone: 503-666-5050 | |
Katie L Ketterling-thornburg, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 440 Nw Division St, Gresham, OR 97030 Phone: 503-215-9500 | |
Ms. Heike K. Huchler, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2850 Se Powell Valley Rd, Gresham, OR 97080 Phone: 503-666-5050 |