Whalio Doctors

NPI 1235306911

Amy Roseanne Skucas, DO

Practitioner Optician Portland, OR

Practice location

Address
500 Multnomah St Suite 100, Portland, OR 97232
Phone
(503) 571-5675
Mailing address
PO Box 213, Yacolt, WA 98675

Registered specialties

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X Licence DO00002207 (WA)

Registry record

NPI
1235306911
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 May 2008
Record last updated
8 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.