John Russell Prentice, PA-C
John Russell Prentice, PA-C is a Physician Assistant in Vancouver, Washington. Licensed in West Virginia. Registered with an NPI since 2005.
- Licensed in
- WV
- In the registry since
- 2005
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
11808 NE Fourth Plain Rd Ste AVancouver, WA 98682-5524
Phone: (360) 253-6947
Fax: (360) 256-9547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA10002522 (WV) |
|---|
Record details
| NPI number | 1497736110 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | November 9, 2005 |
| Last updated in NPPES | July 13, 2026 |
| Mailing address | 11808 Ne Fourth Plain Rd, Suite A, Vancouver, WA 98682-5524 |
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