Ms Charleen L Pruett, ANP is a
Nurse Practitioner - Adult Health based in Clatskanie, Oregon. Ms Charleen L Pruett is licensed to practice in Oregon (license number 90007050) and her current practice location is
23606 Shepard Rd, Clatskanie, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 728-4770.
NPI number for Ms Charleen L Pruett is 1669453049 and her current mailing address is Po Box 276, 23606 Sheperd Rd., Clatskanie, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669453049.
Provider's Profile
Full Name | Ms Charleen L Pruett |
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Gender | Female |
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Speciality | Nurse Practitioner - Adult Health |
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Location | 23606 Shepard Rd, Clatskanie, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669453049
- Provider Enumeration Date: 11/10/2005
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Ms Charleen L Pruett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669453049 | NPI | - | NPPES |
78969 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2200X | Nurse Practitioner - Adult Health | 90007050 (Oregon) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | AP30002308 (Washington) | 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. Ms Charleen L 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 Address | Practice Location Address |
Ms Charleen L Pruett, ANP Po Box 276, 23606 Sheperd Rd., Clatskanie, OR 97016-0276 Ph: (503) 728-4770 | Ms Charleen L Pruett, ANP 23606 Shepard Rd, Clatskanie, OR 97016-2331 Ph: (503) 728-4770 |
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