NPI 1063797124

Scott Irvine

Practitioner Student in an Organized Health Care Education/Training Program Forest Grove, OR

Practice location

Address: 1955 27th Ave, Forest Grove, OR 97116-2962
Phone: (503) 713-3367

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1063797124
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Oct 2011
Record last updated: 19 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.