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Individual

BJ SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
2705 E. BURNSIDE ST, SUITE 206, PORTLAND, OR 97214-1768
(503) 319-9553
(360) 844-5184
Mailing address
2705 E. BURNSIDE ST, SUITE 206, PORTLAND, OR 97214-1768
(503) 319-9553
(360) 844-5184

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1972
OR
103T00000X
Psychologist
Primary
1972
OR
103TC0700X
Clinical Psychologist
1972
OR
103TP2701X
Group Psychotherapy Psychologist
1972
OR
103TR0400X
Rehabilitation Psychologist
1972
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
R161292
OR
Enumeration date
06/10/2009
Last updated
10/05/2022
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