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Individual

WILLIAM PRICKARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
928 NE 162ND AVE APT 240, PORTLAND, OR 97230-5971
(971) 666-3484
Mailing address
928 NE 162ND AVE APT 240, PORTLAND, OR 97230-5971
(971) 666-3484

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
Primary
372600000X
Adult Companion
374U00000X
Home Health Aide

Other

Enumeration date
11/27/2023
Last updated
11/27/2023
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