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Ms. Charleen L Pruett, ANP
Adult Health Nurse Practitioner in Clatskanie, Oregon
NPI 1669453049

Charleen L Pruett is an Adult Health Nurse Practitioner based in Clatskanie, OR and is specialized in Adult Health. Charleen L Pruett practices in Clatskanie, OR and has the professional credentials of ANP. The NPI Number for Charleen L Pruett is 1669453049 and holds a License No. 90007050 (Oregon).

The current practice location address for Charleen L Pruett is 23606 Shepard Rd, Clatskanie, OR and can be reached out via phone at 503-728-4770.

Location: 23606 Shepard Rd, Clatskanie, OR, 97016-0276
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669453049
Provider Name
Charleen L Pruett
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
23606 Shepard Rd, Clatskanie, OR, 97016-0276
Phone Number
503-728-4770
Fax Number
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
78969 05 OR
institution
Provider Business Practice Location Address Details
Address
23606 Shepard Rd
City
Clatskanie
State
Oregon
Zip
97016-2331
Phone Number
503-728-4770
Fax Number
person
Provider Business Mailing Address Details
Address
23606 Shepard Rd
City
Clatskanie
State
Oregon
Zip
97016-2331
Phone Number
503-728-4770
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
90007050 (Oregon)
Definition
Definition to come...
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