SUSAN T. SKINNER MD
NPI 1023132339
Pediatrics in Portland, OR

Q: What is Susan Skinner's NPI number?

The NPI number for Susan Skinner is 1023132339. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Q: What is Susan Skinner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Skinner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 19, 2007

2800 N VANCOUVER AVE, SUITE 201, PORTLAND, OR 97227(503) 331-2400(503) 331-2410 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Susan T. Skinner Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN T. SKINNER MD (NPI 1023132339) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (MD17912) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1023132339

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSUSAN T. SKINNERCredential: MD

Location Address2800 N VANCOUVER AVE, SUITE 201Portland, OR 97227-1630

Mailing Address2800 N Vancouver Ave, Suite 201Portland, OR 97227-1630 · (503) 331-2400 · Fax (503) 331-2410

Phone(503) 331-2400

Fax(503) 331-2410

Sole ProprietorNo

Enumeration DateMarch 19, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1023132339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in OR · MD17912

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2800 N VANCOUVER AVE, Portland, OR 97227

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Other Identifiers 2

Medicaid9637869WA

Medicaid069828OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EMMANUEL TRUNGTOAN TAVAN MD

Internal Medicine (Pulmonary Disease)