Skinner, Susan T.

Skinner, Susan T. is an individual health care provider with primary practice located at 2800 N Vancouver Ave Suite 201, Portland OR 97227-1630. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Skinner, Susan T. can be contacted via phone (503) 331-2400.

Contact Information

Primary practice address
2800 N Vancouver Ave Suite 201 Portland OR 97227-1630
Phone: (503) 331-2400
Fax: (503) 331-2410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD17912 Oregon

Profile Details

NPI number 1023132339
LBN Legal business name Skinner, Susan T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023132339 NPPES
Oregon MEDICAID 069828
Oregon MEDICAID 9637869

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