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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
DO00002207 | WA | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | WASHINGTON STATE LICENSED DISPENSING OPTICIAN | DO00002207 | 01 |
Street Address |
500 MULTNOMAH ST SUITE 100 |
City | PORTLAND |
State | OR |
Zip Code | 97232 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
Find all providers in zip 97232 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
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 |
Find all providers in PORTLAND |
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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.