IndividualActive
Paula Prince, AGACNP
NPI 1114165503 · Gerontology Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1114165503
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP
- Sex
- Female
- Sole proprietor
- No
- License
- 097006495RN (OR)
Practice location
9135 Sw Barnes Rd Ste 461
Portland, OR 97225-6643
Phone: (503) 216-1150
Mailing address
Po Box 3158
Portland, OR 97208-3158
Registry dates
- Enumerated
- 2009-01-23
- Last updated
- 2021-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.