Provider Demographics
NPI:1538501671
Name:ALEY, SCOTT F (DC)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:F
Last Name:ALEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 RIVER RD STE E
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-5013
Mailing Address - Country:US
Mailing Address - Phone:541-688-3223
Mailing Address - Fax:
Practice Address - Street 1:2620 RIVER RD STE E
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404-5013
Practice Address - Country:US
Practice Address - Phone:541-688-3223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5165111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR5165OtherOREGON LICENSE