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Individual

PETER PHILIP SKUTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1942 NW KEARNEY ST STE 11, PORTLAND, OR 97209-1463
(503) 922-6136
Mailing address
1942 NW KEARNEY ST STE 11, PORTLAND, OR 97209-1463

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary

Other

Enumeration date
08/29/2023
Last updated
08/29/2023
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