R TYSON SCOTT DPM LLC – NPI #1659638872
Clinic/Center

R TYSON SCOTT DPM LLC is an AHC clinic located in SALEM, OR. NPPES has assigned the NPI number 1659638872 to R TYSON SCOTT DPM LLC on April 12, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP1100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Podiatric

The NPI profile was previously updated about 6 years ago on Sep 17, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for R TYSON SCOTT DPM LLC below.

NPI Profile for
R TYSON SCOTT DPM LLC

NPI Number
1659638872
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
R TYSON SCOTT DPM LLC
Primary location
800 LIBERTY ST SE
SALEM, OR 97302
Phone: (503) 370-8784 Fax:
1 Other location(s):
350 Miller St SE
Salem, OR 97302-4272
Phone: (503) 370-8784 Ext: 103
Fax: (503) 362-4017
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROBERT SCOTT
OWNER
Phone: (503) 370-8784
Updated
Certification Date
Sep 17, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP1100X
- Clinic/Center / Podiatric (Primary)		 OR DP154513

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.