Individual
SCOTT ROBERT KURITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1804 SE ENSIGN LN, WARRENTON, OR 97146-7339
(503) 338-4114
(503) 338-4115
Mailing address
947 SE MILLER STREET, PORTLAND, OR 97202
(817) 657-0264
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3362ATI
OR
Other
Enumeration date
06/02/2010
Last updated
12/08/2016
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