Provider Demographics
NPI:1114337409
Name:R. SCOTT BABE, MD, LLC
Entity Type:Organization
Organization Name:R. SCOTT BABE, MD, LLC
Other - Org Name:TRISKELION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BABE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-581-7700
Mailing Address - Street 1:2264 MCGILCHRIST ST SE STE 100
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-1008
Mailing Address - Country:US
Mailing Address - Phone:503-581-7700
Mailing Address - Fax:503-581-7799
Practice Address - Street 1:2264 MCGILCHRIST ST SE STE 100
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-1008
Practice Address - Country:US
Practice Address - Phone:503-581-7700
Practice Address - Fax:503-581-7799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD21972171100000X, 2084P0015X, 2084P0800X
ORDO1614292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic MedicineGroup - Multi-Specialty