Soot, Scott Johannes

Soot, Scott Johannes is an individual health care provider with primary practice located at 5050 Ne Hoyt St Suite 523, Portland OR 97213-2991. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Soot, Scott Johannes can be contacted via phone (503) 215-3550.

Contact Information

Primary practice address
5050 Ne Hoyt St Suite 523 Portland OR 97213-2991
Fax: (503) 215-3551
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD20655 Oregon

Profile Details

NPI number 1609888544
LBN Legal business name Soot, Scott Johannes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Apr 2nd, 2015 - about 11 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 1609888544 NPPES
Oregon MEDICAID 288068
Oregon Other 1629080510

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