Individual
DR. SCOTT IBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
25699 SW ARGYLE AVE, STE A, WILSONVILLE, OR 97070-5798
(503) 833-2662
(216) 342-1103
Mailing address
25699 SW ARGYLE AVE, STE A, WILSONVILLE, OR 97070-5798
(503) 639-3937
(503) 620-4448
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3507ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500674578
—
OR
Enumeration date
10/06/2010
Last updated
07/21/2022
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