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

Scott D. McCornack

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487593109

Scott D. McCornack is a Student in an Organized Health Care Education/Training Program in Puyallup, Washington. Licensed in Washington. Registered with an NPI since 2026.

Licensed in
WA
In the registry since
2026

Practice location Address checks out

417 E Pioneer Ste B
Puyallup, WA 98372-3267
Phone: (425) 276-1477
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (WA)

Record details

NPI number1487593109
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2026
Last updated in NPPESMarch 27, 2026
Certification dateMarch 26, 2026
Mailing address417 E Pioneer Ste B, Puyallup, WA 98372-3267

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