Individual
COREEN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29120 SW SAN REMO CT, WILSONVILLE, OR 97070-7373
(503) 682-1840
(503) 682-1873
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/12/2016
Last updated
12/13/2016
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