Skiles, Jack Charles

Skiles, Jack Charles is an individual health care provider with primary practice located at 182 S.W. Academy St. 304 Academy Building, Dallas OR 97338-1922. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Skiles, Jack Charles can be contacted via phone (503) 831-5971.

Contact Information

Primary practice address
182 S.W. Academy St. 304 Academy Building Dallas OR 97338-1922
Phone: (503) 831-5971
Fax: (503) 831-1726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oregon

Profile Details

NPI number 1902130511
LBN Legal business name Skiles, Jack Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2009
Last updated Sep 29th, 2009 - about 16 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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