Provider Demographics
NPI:1679024723
Name:SCOTT, ZURI RONETTE I
Entity Type:Individual
Prefix:MISS
First Name:ZURI
Middle Name:RONETTE
Last Name:SCOTT
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ZURI
Other - Middle Name:RONETTE
Other - Last Name:SCOTT
Other - Suffix:I
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11301 NE 7TH ST # 7TH
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-5113
Mailing Address - Country:US
Mailing Address - Phone:360-843-0533
Mailing Address - Fax:
Practice Address - Street 1:8915 SW CENTER
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223
Practice Address - Country:US
Practice Address - Phone:503-726-3732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-24
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health