Individual
SKYLER ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
21358 OR 99 E, AURORA, OR 97002
(503) 678-6269
Mailing address
1278 WOODACRE DR SE, SALEM, OR 97302-1550
(503) 559-0905
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201809776NP-PP
OR
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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