Individual
LAKENDERA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 SW 4TH AVE STE 520, PORTLAND, OR 97204-1825
(503) 988-2701
Mailing address
3420 EDWARD DR SE, SALEM, OR 97302-2621
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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