Individual
SCOTT MICHAEL PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPH, QMHA
Contact information
Practice address
132 GLYNBROOK ST N, KEIZER, OR 97303-5796
(971) 227-9808
Mailing address
132 GLYNBROOK ST N, KEIZER, OR 97303-5796
(971) 227-9808
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
24-QMHA-I-004287
OR
Other
Enumeration date
02/08/2024
Last updated
05/16/2024
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