Individual
WENONA R SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46314 TIMINE WAY, PENDLETON, OR 97801-9417
(541) 966-9830
(541) 278-7568
Mailing address
46314 TIMINE WAY, PENDLETON, OR 97801-9417
(541) 966-9830
(541) 278-7568
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19-08-31
OR
172V00000X
Community Health Worker
—
OR
175T00000X
Peer Specialist
TWH000003179
OR
Other
Enumeration date
07/12/2018
Last updated
10/07/2019
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