Individual
MONIQUE ELIZABETH PRITCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6327 SE MILWAUKIE AVE, PORTLAND, OR 97202-5418
(503) 418-1800
Mailing address
5236 NE MALLORY AVE, PORTLAND, OR 97211-2630
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD22465
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288461
—
OR
Enumeration date
08/03/2006
Last updated
07/08/2007
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