Individual
HENRY PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13522 SE NIXON AVE, MILWAUKIE, OR 97222-6188
(503) 334-8169
Mailing address
13522 SE NIXON AVE, MILWAUKIE, OR 97222-6188
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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