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Contact Information

MARY E SKRYPZAK, MD
9701 SW BARNES RD
SUITE 150
PORTLAND, OR97225-6772
 Phone: 503-734-3535
 Fax: 503-734-3530
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MARY E SKRYPZAK · (Female)

NPI Number 1184602112
Status Active
Credentials MD
Entity Individual
Enumeration date 01/09/2006
Last updated 06/23/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD28930
  • WA License # MD00029754
  • OR Medicaid 500633700
  • WA Medicaid 1114842
  • OR Other R175771 MEDICARE PTAN
Hospital affiliation(s)
  • PROVIDENCE ST VINCENT MEDICAL CENTER - (Acute Care)
    9205 SW BARNES ROAD
    PORTLAND, OR 97225
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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