Search › Oregon › 101YA0400X
Jack Skiles
NPI 1902130511 · on the registry since 2009
Practice
- Address
- 182 S.W. Academy St.
304 Academy Building
Dallas, OR 97338 - Phone
- (503) 831-5971
- Fax
- (503) 831-1726
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-09-29
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