Individual
PHILIP CHARLES SKELDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 CAPITOL ST NE, SALEM, OR 97301-0644
(503) 399-2424
(503) 375-7429
Mailing address
PO BOX 8100, SALEM, OR 97303-0900
(503) 399-2424
(503) 375-7429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.202269
LA
207R00000X
Internal Medicine Physician
Primary
MD184809
OR
207R00000X
Internal Medicine Physician
MD202269
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08375807
—
MS
05
—
1079871
—
LA
01
—
1228590005
NCS
OR
05
—
500732667
—
OR
Enumeration date
12/18/2007
Last updated
03/12/2018
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