| Christopher Scott | |
|
5305 River Rd N Ste B Keizer OR 97303 | |
| (541) 321-6226 | |
| Not Available |
| Full Name | Christopher Scott |
|---|---|
| Speciality | Social Worker |
| Location | 5305 River Rd N Ste B, Keizer, Oregon |
| Authorized Official Name and Position | Christopher Scott (OWNER) |
| Authorized Official Contact | 4582051580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Scott 1292 High St # 1026 Eugene OR 97401-3238 Ph: (541) 321-6226 | Christopher Scott 5305 River Rd N Ste B Keizer OR 97303 Ph: (541) 321-6226 |
| NPI Number | 1992473433 |
|---|---|
| Provider Enumeration Date | 08/31/2021 |
| Last Update Date | 01/07/2022 |
| Certification Date | 01/07/2022 |
| Medicare PECOS PAC ID | 8729471313 |
|---|---|
| Medicare Enrollment ID | O20220202002626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992473433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christopher Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629472303 PECOS PAC ID: 4981037439 Enrollment ID: I20191213002080 |
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