Julie A Proctor (NPI# 1346340361, PAC ID# 0345247375) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1346340361 |
| PAC ID by PECOS | 0345247375 |
| Professional Enrollment ID | I20061103000249 |
| Full Name | Julie A Proctor |
| Organization Legal Name | ADVANTAGE ORTHOPEDIC AND SPORTS MEDICINE CLINIC LLP |
| Address |
24076 Se Stark St Suite 110 Gresham OR 97030-3162 |
| Phone Number | 5036615388 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9335123868 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380025 | LEGACY MOUNT HOOD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 24076 Se Stark St, Suite 110, Gresham, OR 97030-3162 | 5036615388 | ADVANTAGE ORTHOPEDIC AND SPORTS MEDICINE CLINIC LLP |
| Organization Legal Name | ADVANTAGE ORTHOPEDIC AND SPORTS MEDICINE CLINIC LLP |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc R Davidson | Orthopedic Surgery | Advantage Orthopedic and Sports Medicine Clinic LLP | 24076 Se Stark St, Suite 110, Gresham, OR 97030-3162 |
| Jess M Meyer | Physician Assistant | Advantage Orthopedic and Sports Medicine Clinic LLP | 24076 Se Stark St, Suite 110, Gresham, OR 97030-3162 |
| Bret H Dales | Orthopedic Surgery | Advantage Orthopedic and Sports Medicine Clinic LLP | 24076 Se Stark St, Suite 110, Gresham, OR 97030-3162 |
| Jeffreys D Albright | Orthopedic Surgery | Advantage Orthopedic and Sports Medicine Clinic LLP | 24076 Se Stark St, Suite 110, Gresham, OR 97030-3162 |
| Derek J Mccammon | Podiatry | Advantage Orthopedic and Sports Medicine Clinic LLP | 24076 Se Stark St, Suite 110, Gresham, OR 97030-3162 |
| Street Address |
24076 SE STARK ST SUITE 110 |
| City | GRESHAM |
| State | OR |
| Zip | 97030-3162 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clem George Eischen Jr. | Physical Therapy | Gresham Sportscare | 24076 Se Stark St, Suite 200, Gresham, OR 97030-3376 |
| Babok Amir Ghaheri | Otolaryngology | Oregon Clinic PC | 24076 Se Stark St, Suite 230, Gresham, OR 97030-3162 |
| Marc R Davidson | Orthopedic Surgery | Advantage Orthopedic and Sports Medicine Clinic LLP | 24076 Se Stark St, Suite 110, Gresham, OR 97030-3162 |
| Jess M Meyer | Physician Assistant | Advantage Orthopedic and Sports Medicine Clinic LLP | 24076 Se Stark St, Suite 110, Gresham, OR 97030-3162 |
| Roya Mansouri | Otolaryngology | Oregon Clinic PC | 24076 Se Stark St, Suite 230, Gresham, OR 97030-3162 |
| Patrick Clinton | Physical Therapy | Gresham Sportscare | 24076 Se Stark St, Suite 200, Gresham, OR 97030-3376 |
| Heather K Odell | Physical Therapy | Gresham Sportscare | 24076 Se Stark St, Suite 200, Gresham, OR 97030-3376 |
| Bret H Dales | Orthopedic Surgery | Advantage Orthopedic and Sports Medicine Clinic LLP | 24076 Se Stark St, Suite 110, Gresham, OR 97030-3162 |
| Jeffreys D Albright | Orthopedic Surgery | Advantage Orthopedic and Sports Medicine Clinic LLP | 24076 Se Stark St, Suite 110, Gresham, OR 97030-3162 |
| Claire Valentine | Physical Therapy | Gresham Sportscare | 24076 Se Stark St, Suite 200, Gresham, OR 97030-3376 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne T Daly | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| David A Pierce | Family Medicine | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Agnes White | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Jaclyn Jones | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Elizabeth Claire Yiu | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Emma Moore | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Mary Jepson | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Amanda Cort | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| John L Strauss | Chiropractic | 620 Se 223rd Ave, Gresham, OR 97030-2510 | |
| Mark A George | Optometry | 22640 Se Stark St, Gresham, OR 97030-2684 | |
| Find all physicians in zip 97030 | |||
| City | GRESHAM |
| Zip Code | 97030 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GRESHAM + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Julie A Proctor.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.