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NPI 1548634751

IndividualActive

Aaron Proctor, OTD

NPI 1548634751 · Community Health Worker · Portland, OR

Provider details

NPI number: 1548634751
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Credential: OTD
Sex: Male
Sole proprietor: Yes
License: 350325 (OR)

Practice location

745 Ne 122nd Ave

Portland, OR 97230-2001

Phone: (503) 252-0241

More OR providers

Mailing address

5519 Se 61st Ave

Portland, OR 97206-5401

Registry dates

Enumerated: 2015-11-26
Last updated: 2015-11-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Aaron Proctor, OTD — NPI 1548634751, Portland, OR | NPI Central