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DR. STEVEN JOHN SKOOG NPI 1104896786


NPI Information

NPI: 1104896786
Provider Name: DR. STEVEN JOHN SKOOG
Classification: Urology - 2088P0231X
Entity Type: Individual

Specialization: Pediatric Urology

Address:
3181 SW SAM JACKSON PARK RD
CDW6
PORTLAND, OR
ZIP 97239
Phone: (503) 494-4808
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DR. Steven John Skoog is a pediatric urology urology in Portland, OR. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). DR. Steven John Skoog NPI is 1104896786. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3181 SW SAM JACKSON PARK RD
CDW6
PORTLAND, OR
ZIP 97239-011
Phone: (503) 494-4808
Fax: (503) 494-4743

The enumeration date for this NPI number is 1/25/2006 and was last updated on 10/5/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology25042OREGONNo
22088P0231XUrologyPediatric Urology17952OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B56930MEDICARE UPINOREGON

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: 4/28/2024

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