Individual
JENNIFER PRITCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
832 NE 162ND AVE, PORTLAND, OR 97230-5765
(503) 408-5016
Mailing address
832 NE 162ND AVE, PORTLAND, OR 97230-5765
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
201705642RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93-0386780
NON-PROFIT
—
Enumeration date
07/26/2017
Last updated
07/26/2017
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