Elisabeth Scott, MD
Family Medicine in Canby, OR. Individual provider (NPI-1).
NPI number1124094099
StatusActive
Last updated in NPPESMar 31, 2016
Details
- NPI
- 1124094099
- Entity type
- Individual (NPI-1)
- Name
- Elisabeth Scott
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2006
- Last updated
- Mar 31, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD154529 | OR | Yes |
| 207Q00000X | Family Medicine | 2002-01525 | NC |
Practice location
178 Sw 2nd AveCanby, OR 97013-4152
Phone 503-416-1960
Mailing address
6420 Sw Macadam Ave300
Portland, OR 97239-3507
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