Dr Jill Elizabeth Pruett, MD - Internal Medicine in Portland, OR

Dr Jill Elizabeth Pruett, MD is a Internal Medicine physician based in Portland, Oregon. Dr Jill Elizabeth Pruett is licensed to practice in Oregon (license number MD18835) and her current practice location is 1015 Nw 22nd Avenue, R 200, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 413-8407.

NPI number for Dr Jill Elizabeth Pruett is 1821168436 and her current mailing address is 1015 Nw 22nd Avenue, R 200, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821168436.

Contact Information

Dr Jill Elizabeth Pruett, MD
1015 Nw 22nd Avenue, R 200,
Portland, OR 97210-3025
(503) 413-8407
(503) 413-7361

Map and Direction




Physician's Profile

Full NameDr Jill Elizabeth Pruett
GenderFemale
SpecialityInternal Medicine
Location1015 Nw 22nd Avenue, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1821168436
  • Provider Enumeration Date: 11/09/2006
  • Last Update Date: 03/24/2011

Medical Identifiers

Medical identifiers for Dr Jill Elizabeth Pruett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821168436NPI-NPPES
150774MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD18835 (Oregon)Primary
208M00000XHospitalist MD18835 (Oregon)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jill Elizabeth Pruett is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jill Elizabeth Pruett, MD
1015 Nw 22nd Avenue, R 200,
Portland, OR 97210-3025

Ph: (503) 413-8407
Dr Jill Elizabeth Pruett, MD
1015 Nw 22nd Avenue, R 200,
Portland, OR 97210-3025

Ph: (503) 413-8407

Reviews and Comments


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