Individual
DR. SCOTT K SIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
603 MEDICAL PARKWAY, ENTERPRISE, OR 97828-1168
(541) 426-4502
(541) 426-6403
Mailing address
603 MEDICAL PARKWAY, ENTERPRISE, OR 97828-1168
(541) 426-4502
(541) 426-6403
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11894
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237040
—
OR
01
—
5966006
BCBS
OR
01
—
J054903
PACIFIC SOURCE
OR
01
—
O80051456
RAILROAD MEDICARE
OR
Enumeration date
08/23/2005
Last updated
08/08/2012
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