SCHMUCKLEY ENTERPRISES INCORPORATED NPI 1083734511

NPI Information

  • NPI: 1083734511
  • Provider Name: SCHMUCKLEY ENTERPRISES INCORPORATED
  • Classification: Registered Nurse - 163WC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Address: 13110 NE BEECH ST
    PORTLAND, OR
    ZIP 97230
  • Phone: (503) 254-5669

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NPI Details

SCHMUCKLEY ENTERPRISES INCORPORATED is a community health registered nurse in Portland, OR. SCHMUCKLEY ENTERPRISES INCORPORATED NPI is 1083734511. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13110 NE BEECH ST
PORTLAND, OR
ZIP 97230-847
Phone: (503) 254-5669

The provider's authorized official is Lisa Marie Schmuckley .
The authorized official title is President and has the following contact phone number (503) 254-5669.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 1/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC1500XRegistered NurseCommunity Health089003023RNOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1098071MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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