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NPI Code Detail

MEDICARE: CHRISTINE FAE SKORBERG MD

MEDICARE: CHRISTINE FAE SKORBERG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VX0000XObstetrics Physician0037957CO
2207V00000XObstetrics & Gynecology PhysicianMD61079945WA

General Provider Information

NPI Number : 1073574620
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE FAE SKORBERG MD
Provider Business Mailing Address
First Line : 834 SHERIDAN ST
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-2443
Country : US
Telephone Number : 360-385-2200
Fax Number : 360-412-6478
Provider Business Practice Location Address
First Line : 834 SHERIDAN ST
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-2443
Country : US
Telephone Number : 360-385-2200
Fax Number : 360-412-6478
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 05/24/2021

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