Individual
BRITTNEY TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
5000 N WILLAMETTE BLVD, PORTLAND, OR 97203-5743
(503) 943-7790
Mailing address
1823 SW MARKET ST APT 1, PORTLAND, OR 97201-2445
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
201142260RN
OR
363LF0000X
Family Nurse Practitioner
Primary
10015389
OR
Other
Enumeration date
08/30/2020
Last updated
10/09/2023
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