AMY ROSEANNE SKUCAS


Address: 500 Multnomah St, Suite 100, Portland, OR 97232
Phone: 5035715675

AMY ROSEANNE SKUCAS (NPI# 1235306911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235306911
Entity Type Individual
Full Name AMY ROSEANNE SKUCAS
Other Name AMY ROSEANNE LUGO
Credential DO00002207
Practice Address 500 Multnomah St
Suite 100
Portland
OR 97232
Mailing Address Po Box 213
Yacolt
WA 98675
Practice Telephone 5035715675
Mailing Telephone 3609039717
Enumeration Date 2008-05-13
Last Update Date 2010-03-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
DO00002207 WA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA WASHINGTON STATE LICENSED DISPENSING OPTICIAN DO00002207 01

Office Location

Street Address 500 MULTNOMAH ST
SUITE 100
City PORTLAND
State OR
Zip Code 97232

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619530524 Christopher Morgan Wheaton Technician/Technologist 93 Washington Ave Unit 2, Portland, ME 04101-2618 2019-04-16
1609108968 Kathy Haywood Technician/Technologist 1017 Northcliff Dr, Portland, TX 78374-1918 2010-02-10
1508006040 America's Best Contacts & Eyeglasses Technician/Technologist 539 Sw 3rd Ave, Portland, OR 97204-2501 2009-02-24
1669621207 Reynolds Optical Technician/Technologist 800 Sw Alder, Portland, OR 97205-3107 2008-09-18
1497926463 Hallmark Opticians Technician/Technologist 1911ne Broadway, Portland, OR 97232-1501 2008-03-18
1922139054 Sandra Gillgam Technician/Technologist 11703 Ne Glisan St, Portland, OR 97220-2141 2007-03-08
1053455782 Keeoli Corp Dba Vipeyes Technician/Technologist 1041 Brighton Ave, Portland, ME 04102-1042 2007-02-16
1245385160 Charles Marshall Technician/Technologist 1911 Ne Broadway St, Portland, OR 97232-1501 2007-01-23
1205984630 Weller Inc Technician/Technologist 2933 E Burnside St, Portland, OR 97214-1831 2007-01-08
1710048335 Derek James Buchanan Technician/Technologist 925 Sw Taylor St, Portland, OR 97205-2503 2006-12-13
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Competitor

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City PORTLAND
Zip Code 97232

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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