National Provider Identifier Database

SHELLIE A RUSSELL SKERSKI, MD – NPI #1790849065
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

SHELLIE A RUSSELL SKERSKI, MD
930 SW ABBEY ST STE A
NEWPORT, OR97365-4820
Phone: 541-265-8816
Fax: 541-812-2069
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for SHELLIE A RUSSELL SKERSKI

NPI Number 1790849065
Credentials MD
Entity Individual
Enumeration date 12/21/2006
Last updated 01/26/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • OH License #: 35-077921
  • OR License #: MD198704
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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