Individual
DR. AMANDA CHRISTINE SCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FAAP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5700
(503) 418-5704
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5700
(503) 418-5704
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD219243
OR
2080C0008X
Child Abuse Pediatrics Physician
MD219243
OR
2080C0008X
Child Abuse Pediatrics Physician
S6036
TX
Other
Enumeration date
03/23/2017
Last updated
06/14/2024
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