Individual
MATTHEW A SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
351 SW 9TH ST, ONTARIO, OR 97914
(541) 881-7000
Mailing address
3000 N HALSTED ST STE 724, CHICAGO, IL 60657-5196
(773) 844-2800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-109747
IL
207P00000X
Emergency Medicine Physician
MD25257
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269637
—
OR
05
—
807000700
—
ID
01
—
P00166417
RR MEDICARE
—
Enumeration date
04/28/2006
Last updated
07/06/2018
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