Organization
R TYSON SCOTT DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TYSON SCOTT DPM (OWNER)
(503) 370-8784
Entity
Organization
Contact information
Practice address
800 LIBERTY ST SE, SALEM, OR 97302
(503) 370-8784
Mailing address
800 LIBERTY ST SE, SALEM, OR 97302-4137
(503) 370-8784
(503) 362-4017
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
DP154513
OR
Other
Enumeration date
04/12/2012
Last updated
09/17/2020
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