# MT. SCOTT MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033223441
- **Authorized official:** KATHERINE L FISHER DO (PHYSICIAN)
- **Authorized official phone:** (503) 234-3443

## Contact information

- **Practice address:** 9200 SE 91ST AVE, STE 300, PORTLAND, OR 97086-3756
- **Practice address phone:** (503) 236-3443
- **Practice address fax:** (503) 236-3501
- **Mailing address:** 9200 SE 91ST AVE, STE 300, PORTLAND, OR 97086-3756
- **Mailing address phone:** (503) 236-3443
- **Mailing address fax:** (503) 236-3501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 01/28/2008
