Individual
PATRICK T PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3052 NW MERCHANT WAY STE 100, BEND, OR 97703-5466
(541) 797-6530
(541) 318-0964
Mailing address
3052 NW MERCHANT WAY STE 100, BEND, OR 97703-5466
(541) 797-6530
(541) 318-0964
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5988
OR
Other
Enumeration date
04/26/2018
Last updated
12/16/2021
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