Individual
DR. STEVEN CHARLES SCRUGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
261 MARINE DR, ASTORIA, OR 97103-4325
(503) 325-4641
Mailing address
261 MARINE DR, ASTORIA, OR 97103-4325
(503) 325-4641
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1612ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
840481000
BLUE CROSS
OR
Enumeration date
12/28/2006
Last updated
02/16/2016
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