Individual
MR. SCOTT WINTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
10175 SW BARBUR BLVD, PORTLAND, OR 97219-5908
(503) 317-9003
Mailing address
6405 SW EVELYN ST, PORTLAND, OR 97219-5619
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14663
OR
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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