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NPI Code Detail

MEDICARE: JENNIFER G SCOTT R.D.

MEDICARE: JENNIFER G SCOTT R.D.
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
1133V00000XRegistered Dietitian323OR

General Provider Information

NPI Number : 1831240019
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER G SCOTT R.D.
Provider Business Mailing Address
First Line : 2435 NE CUMULUS AVE STE A
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128-8862
Country : US
Telephone Number : 503-472-6161
Fax Number : 503-434-6290
Provider Business Practice Location Address
First Line : 2435 NE CUMULUS AVE STE A
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128-8862
Country : US
Telephone Number : 503-472-6161
Fax Number : 503-434-6290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2007
Last Update Date : 01/10/2013

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Directions to “ JENNIFER G SCOTT R.D.” Practice Location

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