Search › Washington › 103T00000X
Jordan Skalisky, PHD
NPI 1497302210 · on the registry since 2019 · sole proprietor
Practice
- Address
- 711 State Ave Ne
Olympia, WA 98506 - Phone
- (360) 943-0780
- Fax
- (360) 943-0785
- Organisation at this address
- Community Youth Services
Sea Mar Community Health CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 122
Additional practice sites
- 5010 Kenrick St Se, Lacey, WA
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-02
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 Washington