National Provider Identifier Database

AMANDA C SCULLY, MD, FAAP – NPI #1790216596
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

AMANDA C SCULLY, MD, FAAP
3181 SW SAM JACKSON PARK RD
PORTLAND, OR97239-3011
Phone: 503-418-5700
Fax: 503-418-5704
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Child Abuse Pediatrics 2080C0008X

* Indicates primary specialty

NPI Profile & details for AMANDA C SCULLY

NPI Number 1790216596
Credentials MD, FAAP
Entity Individual
Enumeration date 03/23/2017
Last updated 06/14/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • OR License #: MD219243
  • TX License #: S6036
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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