Phil Scuderi

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

200943192RN Issued in OR

Practice address

244 NE 94TH Ave
Portland, OR 97220-4548

Phone

(503) 544-8234

NPI assigned

Oct 1, 2014

Last updated

Oct 1, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1932502143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 NE 94TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204548",
            "telephone_number": "503-544-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 NE 94TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204548",
            "telephone_number": "503-544-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCUDERI",
        "first_name": "PHIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "OR",
            "license": "200943192RN",
            "primary": true
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "WA",
            "license": "ES00117753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew David Scroggins
• Cherie Lee Scruggs
• Holly Ann Scrugham
• SCS of Oregon, a Professional Corporation
• SCSM Inc.
• Dorian Scull, PA-C
• Amanda Christine Scully, MD, FAAP
• SD Wellness LLC
• Athena L Sdrales, DO
• Andrei D Sdrulla, MD, PHD

• Infusion Therapy Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Infusion Therapy Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.