Fred Elbridge Scott D.M.D.

NPI 1063771418 - Dentist - 122300000X

NPI Details
NPI 1063771418
Gender Male
Enumeration Date 05/04/2012
Last Updated 05/04/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
6404 S.E. MILWAUKIE AVE.
PORTLAND OR, 97202-5518, US
Phone (503) 236-7383
Fax (503) 236-7383
Business Location
6404 S.E. MILWAUKIE AVE.
PORTLAND OR, 97202-5518, US
Phone (503) 236-7383
Fax (503) 236-7383
Toxanomy
Taxonomy Code 122300000X
License State Oregon
License Number 3901DENTIST
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According to our database, Dr. Fred Elbridge Scott D.M.D. NPI is 1063771418, taxonomy code is 122300000X and license number is 3901DENTIST, license state is located at Oregon. Fred Elbridge Scott D.M.D. physically located at 6404 S.e. Milwaukie Ave., Portland OR, 97202-5518. NPI Number Fred Elbridge Scott D.M.D. has the Individual type.

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1063771418 NPI number is provided on an as is basis without warranty of any kind. 1063771418 is maintained by the National Plan & Provider Enumeration System. The contents of Fred Elbridge Scott D.M.D. are for informational purposes only.