Individual
PHIL SCUDERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
244 NE 94TH AVE, PORTLAND, OR 97220-4548
(503) 544-8234
Mailing address
244 NE 94TH AVE, PORTLAND, OR 97220-4548
(503) 544-8234
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
200943192RN
OR
163WI0500X
Infusion Therapy Registered Nurse
ES00117753
WA
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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