Elizabeth Pruett, NP | |
22300 Sw Boones Ferry Rd, Tualatin, OR 97062-7373 | |
(503) 941-3180 | |
Not Available |
Full Name | Elizabeth Pruett |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 22300 Sw Boones Ferry Rd, Tualatin, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831131747 | NPI | - | NPPES |
237041 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 097000577N2NP-PP (Oregon) | Primary |
Entity Name | Neighborhood Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174820815 PECOS PAC ID: 8426227893 Enrollment ID: O20110802000211 |
Mailing Address | Practice Location Address |
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Elizabeth Pruett, NP 7320 Sw Hunziker Rd Ste 300, Portland, OR 97223-2302 Ph: (503) 941-3033 | Elizabeth Pruett, NP 22300 Sw Boones Ferry Rd, Tualatin, OR 97062-7373 Ph: (503) 941-3180 |
Mrs. Alice Darlene Hamilton, P.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22300 Sw Boones Ferry Rd, Tualatin, OR 97062 Phone: 503-431-5975 Fax: 503-431-5976 | |
Mackenzie Eileen Callis, APRN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18650 Sw Boones Ferry Rd Ste 3, Tualatin, OR 97062 Phone: 503-351-5858 | |
Ms. Nicole Gay Ingram, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062 Phone: 503-855-1205 | |
Mrs. Lindsay Ann Marshall, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18765 Sw Boones Ferry Rd, Tualatin, OR 97062 Phone: 503-612-1000 | |
Katherine Anne Mcduffee, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18840 Sw Boones Ferry Rd, Tualatin, OR 97062 Phone: 503-332-1251 | |
Ms. Jade Funtanilla Kekaualua, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19185 Sw 90th Ave, Tualatin, OR 97062 Phone: 503-608-9694 | |
Carole L Dennison, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19250 Sw 65th Ave, Suite 325, Tualatin, OR 97062 Phone: 503-692-1242 Fax: 503-691-3615 |