Individual provider Active NPI

Elizabeth Collyn Prehn, RN

  • Registered Nurse
  • Portland, OR
National Provider Identifier
1992500151
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0910002661RN Issued in OR
Practice address
3703 NE 69TH Ave
Portland, OR 97213-5128
Phone
(503) 351-0593
NPI assigned
Feb 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0910002661RN OR Primary

Addresses

Primary practice location

3703 NE 69TH Ave
Portland, OR 97213-5128

Mailing address

3703 NE 69TH Ave
Portland, OR 97213-5128
Phone (503) 351-0593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0910002661RNORMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Nurse Delegation Registered Nurse CurrentSince Feb 23, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1992500151",
    "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": {
        "last_name": "PREHN",
        "first_name": "ELIZABETH",
        "middle_name": "COLLYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "0910002661RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.