Snow, Amy Gouley
Snow, Amy Gouley is an individual health care provider with primary practice located at 2937 Siskiyou Blvd Ste 1 , Medford OR 97504-8100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Snow, Amy Gouley can be contacted via phone (541) 200-2777.Contact Information
Primary practice address
2937 Siskiyou Blvd Ste 1
Medford OR 97504-8100
Phone: (541) 200-2777
Fax: (541) 214-2575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 17111 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 60240552 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA179314 | Oregon |
Profile Details
| NPI number | 1215912712 |
|---|---|
| LBN Legal business name | Snow, Amy Gouley |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Aug 21st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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