Individual
SCOTT B ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
70 BOWER DR, MEDFORD, OR 97501-3689
(541) 734-3430
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 734-3430
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
10/20/2020
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