# SKYLINE ANESTHESIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548628928
- **Authorized official:** DR. KENT MECKLING MD (OWNER)
- **Authorized official phone:** (503) 539-2964

## Contact information

- **Practice address:** 8995 SW MILEY RD, SUITE 204, WILSONVILLE, OR 97070-5484
- **Practice address phone:** (503) 539-2964
- **Mailing address:** PO BOX 821350, VANCOUVER, WA 98682-0030
- **Mailing address phone:** (360) 687-5221
- **Mailing address fax:** (360) 666-0466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD24567 | OR | Yes |

## Other

- **Enumeration date:** 02/01/2016
- **Last updated:** 02/01/2016