Individual
SEBASTIAN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1913 MEADE ST, NORTH BEND, OR 97459-3432
(541) 756-4508
Mailing address
1750 NEBRASKA AVE, GRANTS PASS, OR 97527-5700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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