Scottoline, Brian Paul

Scottoline, Brian Paul is an individual health care provider with primary practice located at 707 Sw Gaines St Cdrc-P, Portland OR 97239-1507. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Scottoline, Brian Paul can be contacted via phone (503) 494-2613.

Contact Information

Primary practice address
707 Sw Gaines St Cdrc-P Portland OR 97239-1507
Phone: (503) 494-2613
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A66414 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 160149 Oregon
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X A66414 California
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X A66414 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD60211161 Washington

Profile Details

NPI number 1669409223
LBN Legal business name Scottoline, Brian Paul
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Dec 3rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669409223 NPPES
California MEDICAID 00A664140

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