Individual
MS. TAMARA E SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., MSN, C.P.N.P.
Contact information
Practice address
2801 N. GANTENBEIN AVE, SUITE 4247, PORTLAND, OR 97045
(503) 413-4987
(503) 413-2897
Mailing address
2801 N GANTENBEIN AVE, SUITE 4247, PORTLAND, OR 97227-1623
(503) 413-4987
(503) 413-2879
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
404449
CA
163WP0200X
Pediatric Registered Nurse
201394418RN
OR
363LP0200X
Pediatric Nurse Practitioner
Primary
201394419NP-PP
OR
363LP0200X
Pediatric Nurse Practitioner
3085
CA
Other
Enumeration date
11/13/2006
Last updated
03/12/2014
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