Individual
SCOTT MICHAEL MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
10763 SW GREENBURG RD, SUITE 100, TIGARD, OR 97223
(503) 684-8159
Mailing address
10763 SW GREENBURG RD, SUITE 100, TIGARD, OR 97223
(503) 684-8159
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201810759LPN
OR
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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