| Matthew David Proctor, MD | |
|
1815 E 19th St, Ste 1, The Dalles, OR 97058-3385 | |
| (541) 298-5563 | |
| (541) 298-7746 |
| Full Name | Matthew David Proctor |
|---|---|
| Gender | Male |
| Speciality | Allergy/immunology |
| Experience | 25 Years |
| Location | 1815 E 19th St, The Dalles, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932127412 | NPI | - | NPPES |
| 274607 | Medicaid | OR | |
| 831523003 | Other | OR | REGENCE BLUE CROSS |
| 8491839 | Medicaid | WA | |
| P00436239 | Other | OR | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 36708 (Iowa) | Secondary |
| 207Y00000X | Otolaryngology | MD27634 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mid-columbia Medical Center | The dalles, OR | Hospital |
| Ohsu Hospital And Clinics | Portland, OR | Hospital |
| Klickitat Valley Hospital | Goldendale, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-columbia Medical Center | 3779487251 | 98 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew David Proctor, MD 1815 E 19th St, Ste 1, The Dalles, OR 97058-3385 Ph: (541) 298-5563 | Matthew David Proctor, MD 1815 E 19th St, Ste 1, The Dalles, OR 97058-3385 Ph: (541) 298-5563 |
Dr. Charles R Ford, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1815 E 19th St, Suite 1, The Dalles, OR 97058 Phone: 541-298-5563 Fax: 541-298-7746 |