Individual
LISA RENEE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239
(503) 418-4500
(503) 494-3878
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-4500
(503) 494-3878
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201503592RN
OR
367A00000X
Advanced Practice Midwife
Primary
201503593NP-PP
OR
Other
Enumeration date
11/09/2005
Last updated
08/07/2018
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