ROBERT SKIDMORE PHD LLC NPI 1720558604

NPI Information

NPI: 1720558604
Provider Name: ROBERT SKIDMORE PHD LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
18 PORTLAND AVE
MEDFORD, OR
ZIP 97504
Phone: (541) 500-8655
Get Directions

ROBERT SKIDMORE PHD LLC is a professional counselor in Medford, OR. ROBERT SKIDMORE PHD LLC NPI is 1720558604. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18 PORTLAND AVE
MEDFORD, OR
ZIP 97504-309
Phone: (541) 500-8655

The provider's authorized official is Robert Skidmore .
The authorized official title is Owner and has the following contact phone number (541) 500-8655.

The enumeration date for this NPI number is 12/4/2018 and was last updated on 12/4/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500722503	MEDICAID	OREGON

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »