Individual
BROOKE CANNON SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2330 NW FLANDERS ST STE 101, PORTLAND, OR 97210-3400
(876) 701-6503
Mailing address
4036 SE 113TH AVE, PORTLAND, OR 97266-2225
(410) 971-6031
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC214231
OR
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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