Provider Demographics
NPI:1114228426
Name:DILLINGER, SCOTT EMERSON (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:EMERSON
Last Name:DILLINGER
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10300 SW EASTRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-5004
Mailing Address - Country:US
Mailing Address - Phone:503-944-5000
Mailing Address - Fax:
Practice Address - Street 1:10300 SW EASTRIDGE ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-5004
Practice Address - Country:US
Practice Address - Phone:503-944-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL40481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical