Iburg, Scott
Iburg, Scott is an individual health care provider with primary practice located at 25699 Sw Argyle Ave Ste A, Wilsonville OR 97070-5798. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Iburg, Scott can be contacted via phone (503) 833-2662.Contact Information
Primary practice address
25699 Sw Argyle Ave Ste A
Wilsonville OR 97070-5798
Phone: (503) 833-2662
Fax: (216) 342-1103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3507ATI | Oregon |
Profile Details
| NPI number | 1669781746 |
|---|---|
| LBN Legal business name | Iburg, Scott |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2010 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669781746 | NPPES |
| Oregon | MEDICAID | 500674578 |
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