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General NPI Number Information
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NPI Number | 1851430276
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Entity Type | Individual
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Provider Name | R SCOTT PALMER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 3943 TEMPEST DR
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-1928
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Country | US
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Telephone | 530-518-2926
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Fax | 530-592-0506
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Provider Business Mailing Address
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Address Line | 155 B AVE STE 220
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City | LAKE OSWEGO
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State | OR
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Zip | 97034-3180
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Country | US
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Telephone | 530-518-2926
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Fax | 530-592-0506
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3603
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 16155
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 16155
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 16155
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 16155
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 16155
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3063
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License Number State | OR
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