Individual
SCOTT WESTLEY PECORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
847 NE 19TH AVE, PORTLAND, OR 97232-2684
(503) 238-0769
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
200150056NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30006359
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9645219
—
WA
Enumeration date
03/15/2007
Last updated
05/09/2017
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