Charleen L Pruett, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

90007050 Issued in OR

Practice address

23606 Shepard Rd
Clatskanie, OR 97016-2331

Phone

(503) 728-4770

NPI assigned

Nov 10, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669453049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "address_2": "23606 SHEPERD RD.",
            "city": "CLATSKANIE",
            "state": "OR",
            "postal_code": "970160276",
            "telephone_number": "503-728-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23606 SHEPARD RD",
            "city": "CLATSKANIE",
            "state": "OR",
            "postal_code": "970162331",
            "telephone_number": "503-728-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUETT",
        "first_name": "CHARLEEN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "90007050",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP30002308",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78969",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Gwen Martin, RDH
• Sheila M McLain, D.C.
• Charles Mosley, DDS
• Kaelie Murray, FNP-BC
• Carol L Opheikens, FNP-C
• Rick'S Hi-School Pharmacy, Inc.
• Kim Phyllis Robbins
• Jessica Marie Ross, D.M.D
• Philip Joseph Ross, D.M.D.
• Cecelia W Sanders, LCSW

• Adult Health Nurse Practitioner in Clatskanie, OR
• Providers in Clatskanie, OR by specialty
• Adult Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.