Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brittney Tice, RNBSN

Individual provider Ambulatory Care Registered Nurse · NPI 1184237935

Brittney Tice, RNBSN is a Nurse Practitioner in Portland, Oregon. Qualified in 2023, 3 years ago. Practices with Legacy Clinics LLC, a 718-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2020
Specialties on file
2

Practice location Address checks out

5000 N Willamette Blvd
Portland, OR 97203-5743
Phone: (503) 943-7790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10015389 (OR)
Ambulatory Care Registered Nurse Taxonomy 163WP2201X · Licence 201142260RN (OR)

Record details

NPI number1184237935
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNBSN
Sole proprietorNo
NPI enumeratedAugust 30, 2020
Last updated in NPPESOctober 9, 2023
Certification dateOctober 9, 2023
Mailing address1823 Sw Market St Apt 1, Portland, OR 97201-2445

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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