Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephen Proctor

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487009163

Stephen Proctor is an Urology in Clackamas, Oregon. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2016, 10 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in North Carolina and Oregon.

Years since qualifying
10
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
NC, OR
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

9900 SE Sunnyside Rd
Clackamas, OR 97015-9777
Phone: (800) 813-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD205430 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NC)

Record details

NPI number1487009163
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 29, 2016
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025
Mailing address500 Ne Multnomah St Ste 100, Portland, OR 97232-2031

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clackamas