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NPI Code Detail

MEDICARE: CHRISTINE PRENTICE APRN-RX

MEDICARE: CHRISTINE PRENTICE APRN-RX
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN-3245-0HI
2363L00000XNurse Practitioner10046190OR
3363L00000XNurse Practitioner889347NV
4363L00000XNurse Practitioner70005420WA

General Provider Information

NPI Number : 1518530716
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE PRENTICE APRN-RX
Provider Business Mailing Address
First Line : 19365 SW 65TH AVE STE 100
Second Line :
City : TUALATIN
State : OR
Zip : 97062-9196
Country : US
Telephone Number : 971-378-2269
Fax Number :
Provider Business Practice Location Address
First Line : 19365 SW 65TH AVE STE 100
Second Line :
City : TUALATIN
State : OR
Zip : 97062-9196
Country : US
Telephone Number : 971-378-2269
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2021
Last Update Date : 12/22/2025

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Directions to “ CHRISTINE PRENTICE APRN-RX” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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