Individual
BRYAN JACK SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2787 SUNSET AVE, WEST LINN, OR 97068-3719
(503) 557-9929
(503) 722-8218
Mailing address
2787 SUNSET AVE, WEST LINN, OR 97068-3719
(503) 557-9929
(503) 722-8218
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27 1192
OR
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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