Individual
STEPHANIE R SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2042 NE WILLIAMSON CT, BEND, OR 97701-3760
(541) 706-6905
(541) 706-6906
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 706-6905
(541) 706-6906
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01424
OR
363AM0700X
Medical Physician Assistant
2730
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500605527
—
OR
05
—
738338
—
AZ
Enumeration date
08/15/2005
Last updated
05/29/2020
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