Individual
SCOTT ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2074 S 6TH ST, KLAMATH FALLS, OR 97601-3372
(541) 851-8110
Mailing address
2074 S 6TH ST, KLAMATH FALLS, OR 97601-3372
(541) 880-2011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201350024
OR
363LF0000X
Family Nurse Practitioner
Primary
201350024NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170061
—
OR
05
—
500662026
—
OR
Enumeration date
02/19/2013
Last updated
07/29/2024
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