Individual
SCOTT W. FLECK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-4121
Mailing address
6312 SW CAPITOL HWY, #502, PORTLAND, OR 97239-1938
(503) 464-9034
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00750
OR
Other
Enumeration date
05/22/2006
Last updated
07/08/2007
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