IndividualActive
Elizabeth Pruett, NP
NPI 1831131747 · Pediatric Nurse Practitioner · Tualatin, OR
Provider details
- NPI number
- 1831131747
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 097000577N2NP-PP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
22300 Sw Boones Ferry Rd
Tualatin, OR 97062-7373
Phone: (503) 941-3180
Approximate (ZIP-level) locationGet directions
Mailing address
7320 Sw Hunziker Rd Ste 300
Portland, OR 97223-2302
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2022-03-28
- Certified
- 2022-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.