Individual
JORDAN SKOUBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, MPH, CPH
Contact information
Practice address
1750 MCGILCHRIST ST SE STE 130, SALEM, OR 97302-1691
(971) 304-2200
Mailing address
4400 OAKRIDGE RD APT 10, LAKE OSWEGO, OR 97035-3390
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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