Individual
DR. SKOTTI DEANNE CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3521 NW SAMARITAN DR STE 201, CORVALLIS, OR 97330-4744
(541) 768-5140
(541) 768-5391
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-099402
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
DR.0054282
CO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD201371
OR
Other
Enumeration date
05/14/2009
Last updated
02/19/2021
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