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Contact Information

ELIZABETH PRUETT, NP
22300 SW BOONES FERRY RD
TUALATIN, OR97062-7373
 Phone: 503-941-3180
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ELIZABETH PRUETT · (Female)

NPI Number 1831131747
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 06/12/2006
Last updated 03/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 097000577N2NP-PP
  • OR Medicaid 237041
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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