BRIAN PAUL SCOTTOLINE MD, PHD
NPI 1669409223
Pediatrics - Neonatal-Perinatal Medicine in Portland, OR

Q: What is Brian Scottoline's NPI number?

The NPI number for Brian Scottoline is 1669409223. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Q: What is Brian Scottoline's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Brian Scottoline was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 27, 2006PECOS Enrolled

707 SW GAINES ST, CDRC-P, PORTLAND, OR 97239(503) 494-2613 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2021, Jun 6, 2017 (2 updates tracked since 2017).

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About Brian Paul Scottoline Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN PAUL SCOTTOLINE MD, PHD (NPI 1669409223) is an individual neonatal-perinatal medicine provider in Portland, Oregon, licensed in Washington (MD60211161) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1669409223

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameBRIAN PAUL SCOTTOLINECredential: MD, PHD

Location Address707 SW GAINES ST, CDRC-PPortland, OR 97239-1507

Mailing Address707 Sw Gaines St., Cdrc-pPortland, OR 97239 · (503) 494-2613

Phone(503) 494-2613

Sole ProprietorNo

Enumeration DateJune 27, 2006

Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration

NPPES CertifiedDecember 3, 2021

✔ NPI 1669409223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Licenses✔ Licensed in WA · MD60211161✔ Licensed in OR · 160149✔ Licensed in CA · A66414

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License A66414 (CA)

Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License A66414 (CA)

707 SW GAINES ST, Portland, OR 97239

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Secondary Practice Location 1

Location 1505 NE 87th Ave Ste 160Vancouver, WA 98664-1965 · Phone (360) 514-1060 · Fax (360) 514-1065

Other Identifiers 1

Medicaid00A664140CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Paul Scottoline Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARGARET WOLF

Occupational Therapist