PHIL SCUDERI (NPI# 1932502143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932502143 |
| Entity Type | Individual |
| Full Name | PHIL SCUDERI |
| Practice Address |
244 Ne 94th Ave Portland OR 97220-4548 |
| Practice Telephone | 5035448234 |
| Mailing Telephone | 5035448234 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
ES00117753 | WA | Nursing Service Providers |
| Y | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
200943192RN | OR | Nursing Service Providers |
| Street Address |
244 NE 94TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-4548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 163WI0500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364246 | Kevin Charles Drew | Registered Nurse | 1859 Rambling Dr, Springfield, OR 97477-2417 | 2020-04-10 |
| 1720607666 | Eva Marie Gordon | Registered Nurse | 1859 Rambling Dr, Springfield, OR 97477-2417 | 2020-04-10 |
| 1174142012 | Tracy Melinda Kane | Registered Nurse | 1859 Rambling Dr, Springfield, OR 97477-2417 | 2020-04-10 |
| 1255950101 | Jennifer Amy Clason | Registered Nurse | 1859 Rambling Dr, Springfield, OR 97477-2417 | 2020-04-10 |
| 1114546124 | Glenda Lynn Dennis | Registered Nurse | 1859 Rambling Dr, Springfield, OR 97477-2417 | 2020-04-09 |
| 1679192785 | Robyn Joy Smith | Registered Nurse | 1859 Rambling Dr, Springfield, OR 97477-2417 | 2020-04-09 |
Please comment or provide details below to improve the information on PHIL SCUDERI.
| 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.