Organization
ROBERT L SCOTT MD INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LESTER SCOTT MD (OWNER MD)
(360) 457-4761
Entity
Organization
Contact information
Practice address
814 S PEABODY ST, PORT ANGELES, WA 98362-7906
(360) 457-4761
(360) 457-1744
Mailing address
814 S PEABODY ST, PORT ANGELES, WA 98362-7906
(360) 457-4761
(360) 457-1744
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00023380
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019447
—
WA
01
—
114164
L&I PROVIDER NUMBER
WA
Enumeration date
05/31/2007
Last updated
04/20/2008
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