Scott Germann, L.M.P.
Individual provider Active NPI Contractor · Vancouver, WA
NPI 1669767828 · NPPES record last updated Jun 16, 2011
Key facts
- NPI
- 1669767828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- MA 00014184 (WA)
- Practice address
- 15410 NE 85TH Street
Vancouver, WA 98682 - Phone
- (360) 604-2126
- NPI assigned
- Jun 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 00014184 | WA | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | MA 00014184 | WA | Yes |
Addresses
Primary practice location
15410 NE 85TH Street
Vancouver, WA 98682
Mailing address
15410 NE 85TH St
Vancouver, WA 98682-9485
Phone (360) 604-2126
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.