Healthcare Provider Details

I. General information

NPI: 1710094370
Provider Name (Legal Business Name): SKYE-ANN K HOWARD MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. ANN KATHRYN HOWARD

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 06/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

965 TUCKER RD
HOOD RIVER OR
97031-9591
US

IV. Provider business mailing address

965 TUCKER RD
HOOD RIVER OR
97031-9591
US

V. Phone/Fax

Practice location:
  • Phone: 541-386-6665
  • Fax:
Mailing address:
  • Phone: 541-436-0388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number4914
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number000996
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: