Individual provider · Type 1 NPI

John Russell Prentice, PA-C

Physician Assistant · Vancouver, WA

NPI number 1497736110 Active

Practice location

11808 NE Fourth Plain Rd, Suite A
Vancouver, WA 98682-5524

Call (360) 253-6947 Map

Fax (360) 256-9547

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA10002522 (WV)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1497736110

John Russell Prentice, PA-C's National Provider Identifier is 1497736110, issued on Nov 9, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Vancouver, WA. The record was last updated on Jul 13, 2026.