Individual
MS. RUTH ANN SKODACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW,QMHP,CADC
Contact information
Practice address
14195 SW MILLIKAN WAY, BEAVERTON, OR 97005-2307
(503) 644-2545
(503) 644-0379
Mailing address
3210 SW CARSON ST, PORTLAND, OR 97219-3766
(503) 245-5517
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L3768
OR
Other
Enumeration date
09/16/2006
Last updated
09/11/2025
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