Individual
MARK SCOTT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5300 TALLMAN AVE NW, SEATTLE, WA 98107-3932
(206) 782-2700
Mailing address
203 S WESTERN AVE, TONASKET, WA 98855-8803
(509) 486-3144
(509) 486-3176
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
OP00001683
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8252348
—
WA
Enumeration date
05/04/2006
Last updated
04/01/2020
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