Individual
DR. DOUGLAS SKARADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 VISTA AVE SE STE 100, SALEM, OR 97302-4546
(503) 584-1174
(503) 584-1330
Mailing address
340 VISTA AVE SE STE 100, SALEM, OR 97302-4546
(503) 584-1174
(503) 399-1229
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
23186
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287190
—
OR
Enumeration date
06/15/2005
Last updated
02/06/2019
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