Individual
DR. DANIELLE MARLENE PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(405) 474-0595
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(405) 474-0595
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
DO209529
OR
207VM0101X
Maternal & Fetal Medicine Physician
OP61288854
WA
207VM0101X
Maternal & Fetal Medicine Physician
OS020853
PA
Other
Enumeration date
05/08/2015
Last updated
09/15/2022
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