Individual
MR. SCOTT BRYAN MUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4990 HASKINS RD, BONANZA, OR 97623-9735
(541) 331-0739
Mailing address
3314 VANDENBERG RD, KLAMATH FALLS, OR 97603-3730
(541) 882-7291
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
09600624RN
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
09600624RN
OR
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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