Individual
SKYLAR DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LE
Contact information
Practice address
2669 NE TWIN KNOLLS DR # 110, BEND, OR 97701-4895
(541) 241-7412
Mailing address
2669 NE TWIN KNOLLS DR # 110, BEND, OR 97701-4895
(541) 241-7412
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
BAP-E-10266881
OR
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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