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DR. JILL ELIZABETH PRUETT MD
NPI 1821168436
Internal Medicine in Portland, OR

Active since November 09, 2006
1015 NW 22ND AVENUE, R 200, PORTLAND, OR 97210(503) 413-8407(503) 413-7361 Get Directions Write a Review

NPPES record last updated: March 24, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jill Elizabeth Pruett Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JILL ELIZABETH PRUETT MD (NPI 1821168436) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (MD18835) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1821168436
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. JILL ELIZABETH PRUETTCredential: MD
Location Address1015 NW 22ND AVENUE, R 200Portland, OR 97210-3025
Mailing Address1015 Nw 22nd Avenue, R 200Portland, OR 97210-3025 · (503) 413-8407 · Fax (503) 413-7361
Phone(503) 413-8407
Fax(503) 413-7361
Sole ProprietorNo
Enumeration DateNovember 9, 2006
Last NPPES UpdateMarch 24, 2011
✔ NPI 1821168436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · MD18835
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License MD18835 (OR)
1015 NW 22ND AVENUE, Portland, OR 97210
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified115601OR
Medicaid150774OR
Medicare UPING57254

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARILANI SU CHING RPH
Pharmacist (Pharmacotherapy)
1015 NW 22ND AVENUE, PHARMACY SERVICES
PORTLAND, OR 97210
Multnomah County (503) 412-7204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Pruett's NPI number?

The NPI number for Jill Pruett is 1821168436. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Jill Pruett located?

Jill Pruett practices at 1015 NW 22nd Avenue R 200, Portland, OR 97210. The listed phone number is (503) 413-8407.

What is Jill Pruett's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jill Pruett was last updated on March 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.