Individual
DIANGELO ALEXEI SCAMARONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS, CRM
Contact information
Practice address
9230 SW 69TH AVE, PORTLAND, OR 97223-9279
(503) 730-6387
Mailing address
9230 SW 69TH AVE, PORTLAND, OR 97223-9279
(503) 730-6387
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
113522
OR
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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