Jack Charles Skiles

NPI #1902130511 in Dallas, Oregon

Provider Information

NPI Number
1902130511
Entity Type
Individual
Name
Jack Charles Skiles
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Sep 29, 2009
Last Updated
Sep 29, 2009

Practice Location

Address
182 S.W. ACADEMY ST.
Address 2
304 ACADEMY BUILDING
City
Dallas
State
Oregon
ZIP Code
97338-1922
Phone
(503) 831-5971

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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