Skybinskyy, Shira

Skybinskyy, Shira is an individual health care provider with primary practice located at 419 E 7Th St Ste 207 , The Dalles OR 97058-2676. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Skybinskyy, Shira can be contacted via phone (541) 296-5452.

Contact Information

Primary practice address
419 E 7Th St Ste 207 The Dalles OR 97058-2676
Phone: (541) 296-5452
Fax: (541) 296-1537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C4715 Oregon

Profile Details

NPI number 1215486154
LBN Legal business name Skybinskyy, Shira
Credentials QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2016
Last updated Apr 2nd, 2020 - about 4 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 1215486154 NPPES
Oregon MEDICAID 911797454

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