Individual
MARTIN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8695 SW JACK BURNS BLVD STE E, WILSONVILLE, OR 97070-5797
(503) 427-2698
Mailing address
11255 SW GREENBURG RD APT 17, TIGARD, OR 97223-5355
(503) 830-6903
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23922
OR
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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