Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 1929 | OR |
Y | 103T00000X | Psychologist | 1929 | OR |
NPI | 1013245455 |
---|---|
Provider Name | Dr. Scott Thomas Alvord |
First Address | Aurora, OR 97002-9606 |
Second Address | Aurora, OR 97002-9606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2009 |
Last Update Date | 23/11/2009 |