Individual
KRISTINA A SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
145 NE BROADWAY ST, MYRTLE CREEK, OR 97457-9039
(541) 863-3146
(541) 863-3226
Mailing address
2570 NW EDENBOWER BLVD STE 100, ROSEBURG, OR 97471-6214
(541) 677-7200
(541) 229-0061
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201403172NP-PP
OR
Other
Enumeration date
06/03/2014
Last updated
10/23/2017
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