Healthcare Provider Details

I. General information

NPI: 1316879018
Provider Name (Legal Business Name): DELAIAH E SCOTT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 SE BARRINGTON DR STE 203
OAK HARBOR WA
98277-3200
US

IV. Provider business mailing address

946 SILVER LAKE RD
OAK HARBOR WA
98277-9045
US

V. Phone/Fax

Practice location:
  • Phone: 360-240-0022
  • Fax: 360-240-0023
Mailing address:
  • Phone: 360-240-0022
  • Fax: 360-240-0023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: