Individual
TERRY B. SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4245 ROOSEVELT WAY NE, SEATTLE, WA 98105-6008
(206) 598-2600
(206) 598-5720
Mailing address
PO BOX 24366, SEATTLE, WA 98124-0366
(206) 598-0502
(206) 598-0516
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003139
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0170878
LABOR & INDUSTRY
WA
05
—
8356321
—
WA
01
—
UW3504
REGENCE BLUESHIELD
WA
Enumeration date
07/21/2006
Last updated
10/12/2007
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