Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD60764332 | WA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD60764332 | WA |
NPI | 1427376607 |
---|---|
Provider Name | Trevor Pearson Scott |
First Address | Seattle, WA 98104-1172 |
Second Address | Bellevue, WA 98004-3812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2010 |
Last Update Date | 17/03/2018 |