Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Blaise Dennis Maxwell Scollard, PSYDMACCC

Individual provider Speech-Language Pathologist · NPI 1619050747

Blaise Dennis Maxwell Scollard, PSYDMACCC is a Speech-Language Pathologist in Clackamas, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
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Practice location Address checks out

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (503) 571-3820
Fax: (503) 571-5838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 10394 (OR)

Record details

NPI number1619050747
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYDMACCC
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESMay 1, 2013

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