Snow, Jerrold L
Snow, Jerrold L is an sole proprietor health care provider with primary practice located at 6564 Se Lake Rd Ste 200 , Milwaukie OR 97222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Snow, Jerrold L can be contacted via phone (503) 908-5880.Contact Information
Primary practice address
6564 Se Lake Rd Ste 200
Milwaukie OR 97222
Phone: (503) 908-5880
Fax: (888) 475-8729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D017285 | Oregon |
Profile Details
| NPI number | 1053307645 |
|---|---|
| LBN Legal business name | Snow, Jerrold L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Jun 22nd, 2022 - about 2 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053307645 | NPPES |
| Oregon | MEDICAID | 033840 |
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