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Individual

ELISABETH SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
178 SW 2ND AVE, CANBY, OR 97013-4152
(503) 416-1960
Mailing address
6420 SW MACADAM AVE, 300, PORTLAND, OR 97239-3507

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2002-01525
NC
207Q00000X
Family Medicine Physician
Primary
MD154529
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500635004
OR
Enumeration date
02/28/2006
Last updated
03/31/2016
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