MEDICARE: DR. PATRICIA M SCOTT 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	208000000X	Pediatrics Physician	MD00041291	WA

General Provider Information

NPI Number	:	1285671495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA M SCOTT MD

Provider Business Mailing Address
First Line	:	PO BOX 84026
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-8426
Country	:	US
Telephone Number	:	206-722-4608
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 CALIFORNIA AVE SW
Second Line	:	STE 200
City	:	SEATTLE
State	:	WA
Zip	:	98116-3358
Country	:	US
Telephone Number	:	206-320-5780
Fax Number	:	206-320-5794

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

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	08/28/2007

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