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Individual

DR. DAVID SKAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10000 SE MAIN ST, SUITE 105, PORTLAND, OR 97216-2448
(503) 255-3544
(503) 251-6827
Mailing address
10000 SE MAIN ST, SUITE 30, PORTLAND, OR 97216-2448
(503) 255-3544
(503) 251-6827

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD16327
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002191
OR
Enumeration date
11/03/2005
Last updated
07/30/2013
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