Individual
KATELYN PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
1605 E LINCOLN RD, WOODBURN, OR 97071-5137
(503) 982-9300
Mailing address
PO BOX 684, NEWBERG, OR 97132-0684
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201900755RN
OR
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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