Individual
SCOTT CHADDERDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8750
Mailing address
4034 SE BYBEE BLVD, PORTLAND, OR 97202-7742
(503) 358-8539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD25480
OR
207RC0000X
Cardiovascular Disease Physician
Primary
MD25480
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8431371
—
WA
Enumeration date
11/13/2006
Last updated
12/10/2013
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