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Amy Roseanne Skucas, DO00002207
Optician in Portland, Oregon
NPI 1235306911

Amy Roseanne Skucas is a Optician based in Yacolt, OR and is specialized in Optician. Amy Roseanne Skucas practices in Portland, OR and has the professional credentials of DO00002207. The NPI Number for Amy Roseanne Skucas is 1235306911 and holds a License No. DO00002207 (Oregon).

The current practice location address for Amy Roseanne Skucas is 500 Multnomah St, Portland, OR and can be reached out via phone at 503-571-5675. You can also correspond with Amy Roseanne Skucas through the mailing address at PO BOX 213, YACOLT, WA - 98675 (mailing address contact number: 360-903-9717).

Location: 500 Multnomah St, Portland, OR, 98675
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Provider Profile Details
NPI Number
1235306911
Provider Name
Amy Roseanne Skucas
Credential
DO00002207
Provider Entity Type
Individual
Gender
Female
Address
500 Multnomah St, Portland, OR, 98675
Phone Number
503-571-5675
Fax Number
Provider Enumeration Date
05/13/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DO00002207 01 WA WASHINGTON STATE LICENSED DISPENSING OPTICIAN
institution
Provider Business Practice Location Address Details
Address
500 Multnomah St
City
State
Zip
97232
Phone Number
503-571-5675
Fax Number
person
Provider Business Mailing Address Details
Address
500 Multnomah St
City
State
Zip
97232
Phone Number
503-571-5675
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
DO00002207 (Washington)
Definition
Definition to come...
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