Individual provider · Type 1 NPI

Paula Jean Prince, AGACNP

Gerontology Nurse Practitioner · Portland, OR

NPI number 1114165503 Active

Practice location

9135 SW Barnes Rd Ste 461
Portland, OR 97225-6643

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice locations

  • 2242 NE 21st Ave, Portland, OR 97212 · (503) 502-1935

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X097006495RN (OR)
Acute Care Nurse Practitioner 363LA2100X201605367NP-PP (OR)
Gerontology Nurse Practitioner Primary 363LG0600X201605367NP-PP (OR)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1114165503

Paula Jean Prince, AGACNP's National Provider Identifier is 1114165503, issued on Jan 23, 2009. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Portland, OR. The record was last updated on Feb 15, 2021.