Individual provider · Type 1 NPI

Scott W. Fleck, PA

Medical Physician Assistant · Portland, OR

NPI number 1699729632 Active

Practice location

2801 N Gantenbein Ave
Portland, OR 97227-1623

Call (503) 413-4121 Map

Mailing address

6312 SW Capitol Hwy, #502
Portland, OR 97239-1938

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00750 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1699729632

Scott W. Fleck, PA's National Provider Identifier is 1699729632, issued on May 22, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Jul 13, 2026.