Skinner, Susan L
Skinner, Susan L is an sole proprietor health care provider with primary practice located at 595 18Th St , Astoria OR 97103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Skinner, Susan L can be contacted via phone (503) 325-9131.Contact Information
Primary practice address
595 18Th St
Astoria OR 97103
Phone: (503) 325-9131
Fax: (503) 325-8797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 000038195 | Oregon |
Profile Details
| NPI number | 1093779928 |
|---|---|
| LBN Legal business name | Skinner, Susan L |
| Credentials | CNM CFNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Jan 20th, 2010 - about 15 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 | 1093779928 | NPPES |
| Oregon | MEDICAID | 117572 |
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