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Individual

JOSHUA MICHAEL SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
61250 SE COOMBS PL, BEND, OR 97702-3704
(541) 706-5930
(541) 706-5931
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10002151A
IN
363A00000X
Physician Assistant
Primary
PA198003
OR

Other

Enumeration date
08/31/2016
Last updated
02/17/2021
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