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Individual

JEREMY RIVER SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3200 NE 109TH AVE, VANCOUVER, WA 98682-7749
(360) 695-1014
Mailing address
3200 NE 109TH AVE, VANCOUVER, WA 98682-7749
(360) 695-1014

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/01/2024
Last updated
10/01/2024
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