Individual
SCOTT TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
5023 NE KILLINGSWORTH ST, PORTLAND, OR 97218-1915
(503) 284-4249
Mailing address
302 SE 105TH AVE, VANCOUVER, WA 98664-4643
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/06/2007
Last updated
04/23/2012
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