Healthcare Provider Details

I. General information

NPI: 1851222806
Provider Name (Legal Business Name): RONNI SKEANS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 N PROVIDENCE DR
NEWBERG OR
97132-7485
US

IV. Provider business mailing address

485 S 8TH ST
SAINT HELENS OR
97051-2524
US

V. Phone/Fax

Practice location:
  • Phone: 503-537-1555
  • Fax:
Mailing address:
  • Phone: 503-444-6444
  • Fax: 503-444-4342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number10052608
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: