Provider Demographics
NPI:1134454192
Name:MORGAN, SCOTT CHARLES
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:CHARLES
Last Name:MORGAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2778 MALIBU WAY
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-1875
Mailing Address - Country:US
Mailing Address - Phone:805-305-8288
Mailing Address - Fax:
Practice Address - Street 1:2778 MALIBU WAY
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-1875
Practice Address - Country:US
Practice Address - Phone:805-305-8288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-08
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health