Individual
AUSTIN PAUL SKELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
87983 TERRITORIAL RD, VENETA, OR 97487-8775
(541) 935-2200
(541) 935-6241
Mailing address
87983 TERRITORIAL RD, VENETA, OR 97487-8775
(541) 935-2200
(541) 935-6241
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
R041133
SD
363LF0000X
Family Nurse Practitioner
Primary
201608332NP-PP
OR
Other
Enumeration date
06/27/2014
Last updated
03/03/2017
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