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Kevin Skolnik

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

PECOS Enrollment

Based on the most recent information from CMS, provider Kevin Skolnik is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1821502576
Provider Type
Individual
Full Name
Skolnik, Kevin
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
11/16/2017
Last Updated
2/2/2021

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-7551

(503) 494-4997

Mailing Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-7551

(503) 494-4997

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA185439 Oregon
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA185439 Oregon

Kevin Skolnik

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Lumbad, Anthony

Smith, Parrish

Rowden, Daniel

Cox, Ashley J

Masterson, Rachael

Egan, Lisa Anne

Abbott, Matthew

Dang, Theresa Huong Tuyet Thi

Fix, Paxton

Saleen, Avantika