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NPI Code Detail

MEDICARE: PAUL SGOUTAS

MEDICARE: PAUL SGOUTAS
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
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1841790219
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL SGOUTAS
Provider Business Mailing Address
First Line : 25117 SW PARKWAY AVE STE D
Second Line :
City : WILSONVILLE
State : OR
Zip : 97070-9697
Country : US
Telephone Number : 203-293-3046
Fax Number :
Provider Business Practice Location Address
First Line : 4310 E GRANT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2607
Country : US
Telephone Number : 520-323-9351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2018
Last Update Date : 02/15/2018

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Directions to “ PAUL SGOUTAS ” Practice Location

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