Individual
MELANIE PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3040 CENTER ST NE, SALEM, OR 97301-4528
(503) 566-2959
Mailing address
3030 CENTER ST NE, SALEM, OR 97301-4528
(503) 566-2959
(503) 566-2921
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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