Individual
SCOTT ALLEN FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8573
Mailing address
PO BOX 1520, THE DALLES, OR 97058-8003
(541) 506-5710
(541) 296-6431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15282
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083618
—
OR
Enumeration date
10/09/2006
Last updated
10/30/2015
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