Individual
LORI A SKOCZYLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9555 SW BARNES RD, SUITE 100, PORTLAND, OR 97225-6663
(503) 292-3577
(503) 292-3947
Mailing address
9555 SW BARNES RD, SUITE 100, PORTLAND, OR 97225-6663
(503) 292-3577
(503) 292-3947
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
078040634N7 WHCNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285676
—
OR
Enumeration date
11/16/2005
Last updated
10/04/2007
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