Individual
SKYE ALEXANDRA NICOLE HIDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
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
OP60367007
WA
208M00000X
Hospitalist Physician
A-1902-15
NM
208M00000X
Hospitalist Physician
Primary
DO191664
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500659092
—
OR
Enumeration date
05/19/2010
Last updated
03/28/2019
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