Hidden, Skye Alexandra Nicole

Hidden, Skye Alexandra Nicole is an individual health care provider with primary practice located at 2020 Capitol St Ne , Salem OR 97301-0644. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Hidden, Skye Alexandra Nicole can be contacted via phone (503) 399-2424.

Contact Information

Primary practice address
2020 Capitol St Ne Salem OR 97301-0644
Phone: (503) 399-2424
Fax: (503) 375-7429
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OP60367007 Washington
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A-1902-15 New Mexico
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X DO191664 Oregon

Profile Details

NPI number 1376862094
LBN Legal business name Hidden, Skye Alexandra Nicole
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2010
Last updated Mar 28th, 2019 - about 6 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 1376862094 NPPES
Oregon MEDICAID 500659092

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