Individual
DR. STEVEN JOHN SKOOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, CDW6, PORTLAND, OR 97239-3011
(503) 494-4808
(503) 494-4743
Mailing address
3181 SW SAM JACKSON PARK RD, CDW6, PORTLAND, OR 97239-3011
(503) 494-4808
(503) 494-4743
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
25042
OR
2088P0231X
Pediatric Urology Physician
Primary
17952
OR
Other
Enumeration date
01/25/2006
Last updated
10/05/2011
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