Scott, Stephanie R

Scott, Stephanie R is an individual health care provider with primary practice located at 2042 Ne Williamson Ct , Bend OR 97701-3760. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Scott, Stephanie R can be contacted via phone (541) 706-6905.

Contact Information

Primary practice address
2042 Ne Williamson Ct Bend OR 97701-3760
Phone: (541) 706-6905
Fax: (541) 706-6906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01424 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2730 Arizona

Profile Details

NPI number 1033111521
LBN Legal business name Scott, Stephanie R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated May 29th, 2020 - about 4 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 1033111521 NPPES
Arizona MEDICAID 738338
Arizona MEDICAID 500605527

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