Organization
EASTSIDE NURSE DELEGATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH COLLYN PREHN RN (NURSE DELEGATOR)
(503) 351-0593
Entity
Organization
Contact information
Practice address
3703 NE 69TH AVE, PORTLAND, OR 97213-5128
(503) 351-0593
Mailing address
3703 NE 69TH AVE, PORTLAND, OR 97213-5128
(503) 351-0593
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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