NPI 1104896786

Steven John Skoog

Practitioner Pediatric Urology Physician Portland, OR

Practice location

Address: 3181 SW Sam Jackson Park Rd Cdw6, Portland, OR 97239-3011
Phone: (503) 494-4808
Fax: (503) 494-4743

Registered specialties (2)

Pediatric Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2088P0231X Licence 17952 (OR)

Other Urology providers in Oregon →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 25042 (OR)

Registry record

NPI: 1104896786
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jan 2006
Record last updated: 5 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.