Individual
DR. LAUREN VROOMAN SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
938 NW KINGS BLVD, CORVALLIS, OR 97330-2505
(541) 758-5047
(541) 758-3713
Mailing address
938 NW KINGS BLVD, CORVALLIS, OR 97330-2505
(541) 758-5047
(541) 758-3713
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD166648
OR
390200000X
Student in an Organized Health Care Education/Training Program
52154
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500671677
—
OR
01
—
R175237
MEDICARE PTAN
OR
Enumeration date
04/15/2008
Last updated
03/08/2021
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