Individual provider · Type 1 NPI

Joseph David Pruitt

Registered Nurse · Portland, OR

NPI number 1083538813 Active

Practice location

9205 SW Barnes Rd
Portland, OR 97225-6603

Call (503) 216-1234 Map

Mailing address

17425 NW Park View Blvd
Portland, OR 97229-3432

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X10034275 (OR)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1083538813

Joseph David Pruitt's National Provider Identifier is 1083538813, issued on Aug 5, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Portland, OR. The record was last updated on Aug 5, 2026.