Individual
DR. ANNE NGUYEN SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2647 NE 33RD AVE, PORTLAND, OR 97212-3647
(503) 288-0083
(503) 288-7843
Mailing address
2647 NE 33RD AVE, PORTLAND, OR 97212-3647
(503) 288-0083
(503) 288-7843
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO152573
OR
207Q00000X
Family Medicine Physician
OP00002096
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048194015
BLUE CROSS OF OREGON
OR
05
—
500629843
—
OR
Enumeration date
12/28/2006
Last updated
09/01/2011
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