Susan Claire Scandale, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01198 Issued in OR

Practice address

4217 SE 33Rd PL
Portland, OR 97202-3446

Phone

(503) 327-4741

NPI assigned

Jul 18, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1770748741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 SE 33RD PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 SE 33RD PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023446",
            "telephone_number": "503-327-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANDALE",
        "first_name": "SUSAN",
        "middle_name": "CLAIRE",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Scala, LMT
• Kenneth John Scalapino, M.D.
• Emily Scales
• Rachel Andrea Pangan Scales, MD
• Diangelo Alexei Scamarone, PSS, CRM
• Erica Scandalios, PA-C
• Marin Scandrett
• Kathleen Therese Scanlan, DPT
• Richard Michael Scanlan, MD
• Molly Taylor Scanlon

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.