Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN RUSSELL PRENTICE, PA-C
ActiveJOHN RUSSELL PRENTICE, PA-C is a Physician Assistant healthcare provider located in VANCOUVER, Washington. NPI 1497736110 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · VANCOUVER, WA
Registration Details
- NPI Number
- 1497736110
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2005 (20.616897381496 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA10002522 (WV)
Practice Information
- Address
-
11808 NE FOURTH PLAIN RDSUITE AVANCOUVER, WA, 986825524Browse WA providers · Browse ZIP 98682
- Phone
- 3602536947
- Fax
- 3602569547
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in VANCOUVER, WA
| Name | Credential | NPI |
|---|---|---|
| ALAN K MIRLY | PA | 1891780524 |
| JAMES THOMAS STUPFEL | PA-C | 1437130143 |
| LYNN EUGENE CATON | PA-C | 1477536225 |
| LAURA E BRANDT | PA-C | 1013997899 |
| ROBERT S BROOKSHIRE | PA-C | 1295708378 |
| SUSAN M SEGEBARTT | PA-C | 1841268505 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.