Individual
DR. I SCOTT HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18160 COTTONWOOD RD PMB 459, SUNRIVER, OR 97707-9317
(541) 598-2075
Mailing address
18160 COTTONWOOD RD PMB 459, SUNRIVER, OR 97707-9317
(541) 598-2075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0015149
WA
207R00000X
Internal Medicine Physician
Primary
MD22944
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1498906
—
WA
Enumeration date
03/17/2007
Last updated
07/08/2007
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