| Organization Name: | C. EDWARD SKEETERS,M.D. & MICHAEL P. GARDNER,M.D. |
| NPI Number: | 1902968373 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELANIE A ROBERTS (OFFICE MANAGER) |
| Mailing Address: | 19250 Sw 65th Ave Ste 235 Tualatin |
| State: | OR US |
| Postal Code: | 970627745 |
| Phone Number: | 5036921470 |
| Fax Number: | 5036910234 |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MD07790 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |