Jerrold L Snow DO

NPI 1053307645 - Family Medicine - 207Q00000X

NPI Details
NPI 1053307645
Gender Male
Enumeration Date 09/20/2005
Last Updated 10/07/2008
Entity Type Individual
Active Over 12 years ago
Practice Location
5536 SE WOODSTOCK BLVD
PORTLAND OR, 97206-6829, US
Phone (503) 236-1830
Fax (503) 236-1908
Business Location
5536 SE WOODSTOCK BLVD
PORTLAND OR, 97206-6829, US
Phone (503) 236-1830
Fax (503) 236-1908
Toxanomy
Taxonomy Code 207Q00000X
License State Oregon
License Number D017285
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According to our database, Dr. Jerrold L Snow DO NPI is 1053307645, taxonomy code is 207Q00000X and license number is D017285, license state is located at Oregon. Jerrold L Snow DO physically located at 5536 Se Woodstock Blvd, Portland OR, 97206-6829. NPI Number Jerrold L Snow DO has the Individual type.

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1053307645 NPI number is provided on an as is basis without warranty of any kind. 1053307645 is maintained by the National Plan & Provider Enumeration System. The contents of Jerrold L Snow DO are for informational purposes only.