NPI 1902660186

Scott Michael Prentice, MPHQMHA

Practitioner Case Manager/Care Coordinator Keizer, OR

Practice location

Address: 132 Glynbrook St N, Keizer, OR 97303-5796
Phone: (971) 227-9808

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence 24-QMHA-I-004287 (OR)

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Registry record

NPI: 1902660186
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Feb 2024
Record last updated: 16 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.