Healthcare Provider Details

I. General information

NPI: 1053669606
Provider Name (Legal Business Name): UPPER HAND ORTHOPAEDICS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2012
Last Update Date: 01/12/2021
Certification Date: 01/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2797 NW 9TH ST
CORVALLIS OR
97330-3857
US

IV. Provider business mailing address

2773 NW 9TH ST
CORVALLIS OR
97330-3857
US

V. Phone/Fax

Practice location:
  • Phone: 541-207-0910
  • Fax: 855-892-9423
Mailing address:
  • Phone: 541-207-0910
  • Fax: 541-738-2596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberMD29406
License Number StateOR

VIII. Authorized Official

Name: MS. KAREN M SKINKIS
Title or Position: OFFICE MANAGER
Credential:
Phone: 541-207-0910