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Search › Oregon › 207R00000X

Andrea Prokop, MD

NPI 1760910558 · on the registry since 2017

Practice

Address
1200 Nw 23rd Avenue
Legacy Clinic Good Samaritan
Portland, OR 97210
Phone
(503) 413-7074
Fax
(503) 413-6393
Organisation at this address
Legacy Good Samaritan Hospital And Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
36

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
390200000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-09-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon