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1013680370
TODD SKENANDORE
VANCOUVER, WA
NPI
1013680370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP61166269)
Enumeration Date
2021-07-31
Last Update Date
2023-03-28
Business Address
TODD SKENANDORE
2529 NE 139TH ST STE 110
VANCOUVER, WA 98686-2719
Phone number: 360-882-2778
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Mailing Address
TODD SKENANDORE
PO BOX 4825
PORTLAND, OR 97208-4825
Phone number: 360-882-2778
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