Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK CHARLES SKILES
ActiveJACK CHARLES SKILES is a Addiction (Substance Use Disorder) Counselor healthcare provider located in DALLAS, Oregon. NPI 1902130511 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · DALLAS, OR
Registration Details
- NPI Number
- 1902130511
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2009 (16.851902255232 yrs)
- Last Updated
- Sep 29, 2009
Practice Information
- Address
-
182 S.W. ACADEMY ST.304 ACADEMY BUILDINGDALLAS, OR, 973381922Browse OR providers · Browse ZIP 97338
- Phone
- 5038315971
- Fax
- 5038311726
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in DALLAS, OR
| Name | Credential | NPI |
|---|---|---|
| JENNIFER LIEF | — | 1235211343 |
| MR. MARK LYNN DAVIS | CADC I | 1326166141 |
| MR. RAYMOND W HUGHEY | M.S. | 1922126754 |
| MS. KAREN SCOTT RUTHERFORD | C.A.D.C. II | 1487775607 |
| SUSAN MARIE KLEIN | — | 1023239761 |
| SERGIO A GUTIERREZ | CADC II, QMHA II | 1376764951 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.