Search › Oregon › 101YA0400X
Jacob Skokan, CADC I
NPI 1437278736 · on the registry since 2007
Practice
- Address
- 231 Se 12th Avenue
Portland, OR 97214 - Phone
- (503) 546-9975
- Fax
- (503) 546-9976
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-01-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon