MEDICARE: DR. SCOTT ALAN CATHCART

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	111N00000X	Chiropractor	5552	OR
2	111NS0005X	Sports Physician Chiropractor	5552	OR

General Provider Information

NPI Number	:	1487065942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT ALAN CATHCART

Provider Business Mailing Address
First Line	:	4160 NE SANDY BLVD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97212-5336
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4160 NE SANDY BLVD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97212-5336
Country	:	US
Telephone Number	:	503-249-9000
Fax Number	:

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

Provider Enumeration Date	:	05/17/2014
Last Update Date	:	05/17/2014

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Directions to “ DR. SCOTT ALAN CATHCART ” Practice Location

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