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Individual

LATISHA SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-2500
Mailing address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
201502954NP-PP
OR
363LN0000X
Neonatal Nurse Practitioner
K119426
IA

Other

Enumeration date
01/02/2013
Last updated
06/14/2015
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