Individual
MYLES PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
(855) 524-5255
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
256559
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
10036678
OR
Other
Enumeration date
10/08/2021
Last updated
08/11/2025
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