Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD61079945 | WA |
N | 207VX0000X | Obstetrician | 0037957 | CO |
NPI | 1073574620 |
---|---|
Provider Name | Christine Fae Skorberg |
First Address | Port Townsend, WA 98368-2443 |
Second Address | Port Townsend, WA 98368-2443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 24/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E40250 | (02) | CO |