Individual
CHRISTINE PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-RX
Contact information
Practice address
19365 SW 65TH AVE STE 100, TUALATIN, OR 97062-9196
(971) 378-2269
Mailing address
19365 SW 65TH AVE STE 100, TUALATIN, OR 97062-9196
(971) 378-2269
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10046190
OR
363L00000X
Nurse Practitioner
70005420
WA
363L00000X
Nurse Practitioner
889347
NV
363LF0000X
Family Nurse Practitioner
APRN-3245-0
HI
Other
Enumeration date
07/23/2021
Last updated
12/22/2025
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