Eastside Nurse Delegation

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

EASTSIDE NURSE DELEGATION

Practice address

3703 NE 69TH Ave
Portland, OR 97213-5128

Phone

(503) 351-0593

NPI assigned

Feb 6, 2025

Last updated

Feb 6, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Collyn Prehn, RNNPI 1992500151

Title

Nurse Delegator

Phone

(503) 351-0593

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Collyn Prehn, RN

  • Registered Nurse
  • Portland, OR
  • NPI 1992500151
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1073327250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 NE 69TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135128",
            "telephone_number": "503-351-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 NE 69TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135128",
            "telephone_number": "503-351-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE NURSE DELEGATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "PREHN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "COLLYN",
        "authorized_official_title_or_position": "NURSE DELEGATOR",
        "authorized_official_telephone_number": "503-351-0593",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastport Plaza Dental P.C.
• Eastside Counseling LLC
• Eastside Electrology
• Eastside Electrology of Portland
• Eastside Foot and Ankle
• Eastside Wellness Center, LLC (Element Wellness and Sports Rehabilitation)
• Audrey Easttum, RD, CSP, LD
• Aletha Eastwood, LMT, LPC-INTERN
• Easy Ride LLC
• Eat Well Nutrition Counseling, LLC

• Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.