Individual
TODD SKENANDORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2529 NE 139TH ST STE 110, VANCOUVER, WA 98686-2719
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61166269
WA
Other
Enumeration date
07/31/2021
Last updated
03/28/2023
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