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NPI Code Detail

MEDICARE: MR. SCOTT EMERSON DILLINGER MSW, LCSW

MEDICARE:  MR. SCOTT EMERSON DILLINGER  MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerL4048OR

General Provider Information

NPI Number : 1114228426
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SCOTT EMERSON DILLINGER MSW, LCSW
Provider Business Mailing Address
First Line : 10300 SW EASTRIDGE ST
Second Line :
City : PORTLAND
State : OR
Zip : 97225-5004
Country : US
Telephone Number : 503-944-5000
Fax Number :
Provider Business Practice Location Address
First Line : 10300 SW EASTRIDGE ST
Second Line :
City : PORTLAND
State : OR
Zip : 97225-5004
Country : US
Telephone Number : 503-944-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2010
Last Update Date : 11/03/2010

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Directions to “ MR. SCOTT EMERSON DILLINGER MSW, LCSW” Practice Location

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