MEDICARE: SCOTT C BRANCATO MD

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
1	207RC0000X	Cardiovascular Disease Physician	246917	MA
2	207RC0000X	Cardiovascular Disease Physician	MD13036	RI
3	207R00000X	Internal Medicine Physician	MD159484	OR
4	207RC0001X	Clinical Cardiac Electrophysiology Physician	MD159484	OR
5	207RC0000X	Cardiovascular Disease Physician	MD159484	OR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P01131271	OTHER	OR	RR MEDICARE (PH&S)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184849762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT C BRANCATO MD

Provider Business Mailing Address
First Line	:	541 NE 20TH AVE STE 225
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97232-2895
Country	:	US
Telephone Number	:	503-963-2801
Fax Number	:	503-963-2825

Provider Business Practice Location Address
First Line	:	19260 SW 65TH AVE STE 420
Second Line	:
City	:	TUALATIN
State	:	OR
Zip	:	97062-5712
Country	:	US
Telephone Number	:	503-692-0405
Fax Number	:	503-692-7978

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	11/18/2025

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Directions to “ SCOTT C BRANCATO MD” Practice Location

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