Susan Kim Scott

Primary specialty

Registered NurseTaxonomy code 163W00000X

Practice address

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970

Phone

(503) 571-2657

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Susan Kim Scott Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629183231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22333 S GRAPEVINE RD",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970689211",
            "telephone_number": "503-697-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10180 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158970",
            "telephone_number": "503-571-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SUSAN",
        "middle_name": "KIM",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SCOTT",
            "middle_name": "KIM",
            "prefix": "MRS.",
            "credential": "MASTERS IN SIENCE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristen Marie Scoggins, LMT
• Blaise Dennis Maxwell Scollard, PSY.D.M.A.CCC
• Rachael Scoones
• Jessica Scott
• Kara Scott
• Jennifer Scovell, PHARMD
• Suhad Searty
• Emily Kathryn Secreto Miller, PTA
• Valeriia Sedina, RD
• Jocelyn A Segall, MD

• Registered Nurse in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.