Organization
C. EDWARD SKEETERS,M.D. & MICHAEL P. GARDNER,M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE A ROBERTS IV (OFFICE MANAGER)
(503) 692-1470
Entity
Organization
Contact information
Practice address
19250 SW 65TH AVE STE 235, TUALATIN, OR 97062-7745
(503) 692-1470
(503) 691-0234
Mailing address
19250 SW 65TH AVE STE 235, TUALATIN, OR 97062-7745
(503) 692-1470
(503) 691-0234
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD07790
OR
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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