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Organization

SKYLINE ANESTHESIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENT MECKLING MD (OWNER)
(503) 539-2964
Entity
Organization

Contact information

Practice address
8995 SW MILEY RD, SUITE 204, WILSONVILLE, OR 97070-5484
(503) 539-2964
Mailing address
PO BOX 821350, VANCOUVER, WA 98682-0030
(360) 687-5221
(360) 666-0466

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD24567
OR

Other

Enumeration date
02/01/2016
Last updated
02/01/2016
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