NPI 1427150507

Scott J Pine

Practitioner Optician Salem, OR

Practice location

Address: 2400 Lancaster Dr NE, Salem, OR 97305-1221
Phone: (503) 361-5400
Mailing address: 2913 Douglas Ave, Newberg, OR 97132-1415

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 17608 (OR)

Other Technician/Technologist providers in Oregon →

Registry record

NPI: 1427150507
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Sep 2006
Record last updated: 8 Jul 2007

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.