Skinner, Ida B.

Skinner, Ida B. is an individual health care provider with primary practice located at 3615 Nw Samaritan Dr Suite 201, Corvallis OR 97330-3783. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Perioperative, which is considered as her primary health care specialty. Skinner, Ida B. can be contacted via phone (541) 768-5930.

Contact Information

Primary practice address
3615 Nw Samaritan Dr Suite 201 Corvallis OR 97330-3783
Phone: (541) 768-5930
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Perioperative 364SP2800X 180151 Oregon

Profile Details

NPI number 1801914734
LBN Legal business name Skinner, Ida B.
Credentials RNFA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801914734 NPPES
Oregon MEDICAID 090487

Popular Providers