Individual
CASEY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1040 OAK ST, EUGENE, OR 97401-3132
(541) 393-0777
Mailing address
1040 OAK ST, EUGENE, OR 97401-3132
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
12/09/2016
Last updated
05/11/2017
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