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C. EDWARD SKEETERSM.D. & MICHAEL P. GARDNERM.D. NPI 1902968373


NPI Information

NPI: 1902968373
Provider Name: C. EDWARD SKEETERS,M.D. & MICHAEL P. GARDNER,M.D.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
19250 SW 65TH AVE STE 235
TUALATIN, OR
ZIP 97062
Phone: (503) 692-1470
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C. EDWARD SKEETERS,M.D. & MICHAEL P. GARDNER,M.D. is a specialist in Tualatin, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. C. EDWARD SKEETERS,M.D. & MICHAEL P. GARDNER,M.D. NPI is 1902968373. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19250 SW 65TH AVE STE 235
TUALATIN, OR
ZIP 97062-745
Phone: (503) 692-1470
Fax: (503) 691-0234

The provider's authorized official is Melanie A Roberts .
The authorized official title is Office Manager and has the following contact phone number (503) 692-1470.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMD07790OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.