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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144294885 | NPPES |
Oregon | MEDICAID | 205492 |
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