Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790216596 Individual Practitioner Female Practitioner

Dr. Amanda Christine Scully , MD, FAAP

Pediatrics • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Amanda Scully, MD, FAAP is a registered healthcare professional specializing in Pediatrics in Portland, OR. Practice services are available at 3181 SW SAM JACKSON PARK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3181 Sw Sam Jackson Park Rd

Portland, OR 972393011

Telephone 5034185700
Fax 5034185704
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 20.9 Yrs
Regional Practice Density
282 Specialists

Practicing in Portland, OR (880 Statewide)

Telehealth Adoption Rate
0.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OR MD219243

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.

Pediatrics - Child Abuse Pediatrics

NUCC Taxonomy Code: 2080C0008X

State License TX S6036

A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.

Pediatrics - Child Abuse Pediatrics

NUCC Taxonomy Code: 2080C0008X

State License OR MD219243

A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.

Secondary Practice Locations

1 Hermann Museum Circle Dr Apt 4047

Houston, TX 770047388

Phone: 2108366325

2800 N Vancouver Ave Ste 201

Portland, OR 972271648

Phone: 5032769000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

38 Associated Practitioners
Dr. Daniel Morrow , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1033354766

Doctor of Medicine (M.D.)

NPI 1053654988

Doctor of Medicine (M.D.)

Dr. Gina Carter-Beard , MD

Pediatrics - Hospice and Palliative Medicine

NPI 1083815922

Doctor of Medicine (M.D.)

NPI 1093723553

Doctor of Medicine (M.D.)

NPI 1104455203

Doctor of Medicine (M.D.)

Miriam Escobar Manriquez , THW

Community Health Worker

NPI 1124890066

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location June 14, 2024

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011 (Tel: 5034185700)

📍
Updated Business Mailing Address June 14, 2024

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011 (Tel: 5034185700)

📍
Updated Practice Location April 15, 2024

Registered at 2800 N VANCOUVER AVE STE 201, PORTLAND, OR 972271648 (Tel: 5032769000)

📍
Updated Business Mailing Address April 15, 2024

Registered at PO BOX 4399, PORTLAND, OR 972084399 (Tel: 5034133900)

📍
Updated Practice Location January 23, 2024

Registered at 1 HERMANN MUSEUM CIRCLE DR APT 4047, HOUSTON, TX 770047388 (Tel: 2108366325)

📍
Updated Business Mailing Address January 23, 2024

Registered at 1 HERMANN MUSEUM CIRCLE DR APT 4047, HOUSTON, TX 770047388 (Tel: 2107836635)

👤
Provider Name / Credentials Updated January 23, 2024

Recorded as AMANDA SCULLY, MD, FAAP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2024

Pediatrics (License #S6036 in TX)

NPI Profile Active March 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2017

Registered at 333 N SANTA ROSA ST, CCF - F3725, SAN ANTONIO, TX 782073108 (Tel: 2107043910)

📍
Updated Business Mailing Address March 23, 2017

Registered at 333 N SANTA ROSA ST, CCF - F3725, SAN ANTONIO, TX 782073108 (Tel: 2107043910)

👤
Provider Name / Credentials Updated March 23, 2017

Recorded as AMANDA SCULLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 23, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790216596
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2017
Last Update: June 14, 2024
Sole Proprietor: No

Mailing Address

3181 Sw Sam Jackson Park Rd

Portland, OR 972393011

Phone: 5034185700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.