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NPI 1790216596

IndividualActive

Amanda Scully, MD, FAAP

NPI 1790216596 · Pediatrics Physician · Portland, OR

Provider details

NPI number: 1790216596
Entity type: Individual
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Credential: MD, FAAP
Sex: Female
Sole proprietor: No
License: S6036 (TX)

Practice location

3181 Sw Sam Jackson Park Rd

Portland, OR 97239-3011

Phone: (503) 418-5700

Fax: (503) 418-5704

More OR providers

Mailing address

3181 Sw Sam Jackson Park Rd

Portland, OR 97239-3011

Registry dates

Enumerated: 2017-03-23
Last updated: 2024-06-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Amanda Scully, MD, FAAP — NPI 1790216596, Portland, OR | NPI Central