Individual
DR. MARY ELIZABETH SKRYPZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9701 SW BARNES RD, SUITE 150, PORTLAND, OR 97225-6772
(503) 734-3535
(503) 734-3530
Mailing address
7650 SW BEVELAND RD, SUITE 200, PORTLAND, OR 97223-8692
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD00029754
WA
207VG0400X
Gynecology Physician
Primary
MD28930
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114842
—
WA
05
—
500633700
—
OR
01
—
R175771
MEDICARE PTAN
OR
Enumeration date
01/09/2006
Last updated
06/23/2016
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