Individual
JILL SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
203 2ND AVE S, SUITE 112, OKANOGAN, WA 98840
(509) 557-6300
(509) 557-6308
Mailing address
202 E BARTLETT AVE, OMAK, WA 98841-9332
(509) 557-6300
(509) 557-6380
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WA
332BC3200X
Customized Equipment (DME)
—
WA
332BX2000X
Oxygen Equipment & Supplies (DME)
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912462649
NPI
WA
05
—
1912462649
—
WA
Enumeration date
02/06/2019
Last updated
04/10/2022
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