Provider Demographics
NPI:1881578565
Name:DELBRIDGE, SCOTT EUGENE
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:EUGENE
Last Name:DELBRIDGE
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 1:29714 S SALO RD
Mailing Address - Street 2:
Mailing Address - City:MULINO
Mailing Address - State:OR
Mailing Address - Zip Code:97042-9721
Mailing Address - Country:US
Mailing Address - Phone:971-400-9944
Mailing Address - Fax:
Practice Address - Street 1:26600 S HWY 213
Practice Address - Street 2:
Practice Address - City:MULINO
Practice Address - State:OR
Practice Address - Zip Code:97042-9607
Practice Address - Country:US
Practice Address - Phone:971-400-9944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC4210101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional