Healthcare Provider Details

I. General information

NPI: 1457774176
Provider Name (Legal Business Name): JAMIE SCALES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2014
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 N WASHINGTON AVE
DURANT OK
74701-3642
US

IV. Provider business mailing address

PO BOX 1710
KINGSTON OK
73439-1710
US

V. Phone/Fax

Practice location:
  • Phone: 580-931-3008
  • Fax:
Mailing address:
  • Phone: 580-564-7374
  • Fax: 855-286-8580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number9175
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: