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Individual

SCOTT A VIGNOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW

Contact information

Practice address
1020 SW TAYLOR ST STE 435, PORTLAND, OR 97205-2509
(503) 449-3586
Mailing address
1020 SW TAYLOR ST STE 435, PORTLAND, OR 97205-2509
(503) 449-3586

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L13880
OR
1041C0700X
Clinical Social Worker
LW.61332113
WA

Other

Enumeration date
11/14/2016
Last updated
05/22/2025
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