Search › Washington › 363L00000X
Amanda Proctor
NPI 1831850023 · on the registry since 2022
Practice
- Address
- 905 E D St
Deer Park, WA 99006 - Phone
- (509) 276-5005
- Fax
- (509) 276-7785
- Organisation at this address
- Deer Park Family Care Clinic Ps
Privia Medical Group Washington, Pllc
Privia Medical Group Washington, Pllc
Universal Ultrasound Diagnostic & Vein Treatment CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 24261 N Us Highway 101, Hoodsport, WA
- 702 S Park St, Deer Park, WA
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 207Q00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-15
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 Washington