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AMBRUSTER, SCOTT HARRISON       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: PORTLAND VA MEDICAL CENTER
3710 SW US VETERANS HOSP RD
PORTLAND OR 97239

Address last updated on 8/22/2011
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 24636
Dated: 9/1/2005
Expires: 9/1/2012
License Type: Medical Doctor
Specialty: Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ of TX at San Antonio, UTSA Long School of Medicine
Graduated: 5 / 2004
CME Year: 2014
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF RADIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
PORTLAND VA MEDICAL CENTER
3710 SW US VETERANS HOSP RD
PORTLAND OR 97239

Phone #:
Fax #:
Mon:
Tue:
Wed:
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Sun:

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