IndividualActive
Cory Prothorp, QMHA
NPI 1235595935 · Counselor · Redmond, OR
Provider details
- NPI number
- 1235595935
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- QMHA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
340 Nw 5th St
Box 1710
Redmond, OR 97756-1869
Phone: (541) 516-4087
Fax: (540) 504-1195
Approximate (ZIP-level) locationGet directions
Mailing address
125 Sw C St
Madras, OR 97741-1458
Registry dates
- Enumerated
- 2016-01-11
- Last updated
- 2016-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.