Prentice, John Russell

Prentice, John Russell is an individual health care provider with primary practice located at 11808 Ne Fourth Plain Rd Suite A, Vancouver WA 98682-5524. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Prentice, John Russell can be contacted via phone (360) 253-6947.

Contact Information

Primary practice address
11808 Ne Fourth Plain Rd Suite A Vancouver WA 98682-5524
Fax: (360) 256-9547
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10002522 West Virginia

Profile Details

NPI number 1497736110
LBN Legal business name Prentice, John Russell
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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