Search › Oregon › 124Q00000X
Scott Mazzulo
NPI 1346957743 · on the registry since 2022
Practice
- Address
- 10102 Ne Glisan St
Portland, OR 97220 - Phone
- (704) 909-8509
- Organisation at this address
- Kaiser Foundation Health Plan Of The Northwest
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 58
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon