Individual
DR. SCOTT JOHANNES SOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5050 NE HOYT ST, SUITE 523, PORTLAND, OR 97213-2991
(503) 215-3550
(503) 215-3551
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD20655
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629080510
ORGANIZATION NPI
OR
05
—
288068
—
OR
Enumeration date
08/12/2006
Last updated
04/02/2015
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