Individual
SANDRA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9775 SW GEMINI DR, BEAVERTON, OR 97008-7148
(866) 202-4014
(866) 579-4546
Mailing address
PO BOX 1020, BEAVERTON, OR 97075-1020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0007641
OR
183500000X
Pharmacist
0202208946
VA
183500000X
Pharmacist
447504
PA
183500000X
Pharmacist
S03940
AZ
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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