Scott, Kelly Faith

Scott, Kelly Faith is an individual health care provider with primary practice located at 1130 Nw 22Nd Ave 220, Portland OR 97210-2900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Scott, Kelly Faith can be contacted via phone (503) 413-8988.

Contact Information

Primary practice address
1130 Nw 22Nd Ave 220 Portland OR 97210-2900
Phone: (503) 413-8988
Fax: (503) 274-4815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD14795 Oregon

Profile Details

NPI number 1144294885
LBN Legal business name Scott, Kelly Faith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144294885 NPPES
Oregon MEDICAID 205492

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