SCOTT WESTLEY PECORA N.P. NPI 1366576787

NPI Information

  • NPI: 1366576787
  • Provider Name: SCOTT WESTLEY PECORA, N.P.
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 847 NE 19TH AVE
    PORTLAND, OR
    ZIP 97232
  • Phone: (503) 238-0769

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NPI Details

Scott Westley Pecora, N.P. is a psychiatric/mental health nurse practitioner in Portland, OR. Scott Westley Pecora, N.P. NPI is 1366576787. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

847 NE 19TH AVE
PORTLAND, OR
ZIP 97232-684
Phone: (503) 238-0769

The enumeration date for this NPI number is 3/15/2007 and was last updated on 5/9/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health200150056NPOREGONNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAP30006359WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q49352MEDICARE UPINWASHINGTON
28855010MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
39645219MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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