Organization
SCHMUCKLEY ENTERPRISES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE SCHMUCKLEY RN (PRESIDENT)
(503) 254-5669
Entity
Organization
Contact information
Practice address
13110 NE BEECH ST, PORTLAND, OR 97230-2847
(503) 254-5669
Mailing address
13110 NE BEECH ST, PORTLAND, OR 97230-2847
(503) 254-5669
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
089003023RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098071
—
OR
Enumeration date
03/29/2007
Last updated
01/22/2013
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