Skarada, Douglas
Skarada, Douglas is an individual health care provider with primary practice located at 340 Vista Ave Se Ste 100 , Salem OR 97302-4546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Skarada, Douglas can be contacted via phone (503) 584-1174.Contact Information
Primary practice address
340 Vista Ave Se Ste 100
Salem OR 97302-4546
Phone: (503) 584-1174
Fax: (503) 584-1330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 23186 | Oregon |
Profile Details
| NPI number | 1770588949 |
|---|---|
| LBN Legal business name | Skarada, Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Feb 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770588949 | NPPES |
| Oregon | MEDICAID | 287190 |
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