JERROLD L SNOW LLC NPI 1922276021

NPI Information

JERROLD L SNOW LLC is a family medicine in Portland, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JERROLD L SNOW LLC NPI is 1922276021. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Woodstock Family Medicine.

The provider's business location address is:

5536 SE WOODSTOCK BLVD
PORTLAND, OR
ZIP 97206-829
Phone: (503) 236-1830
Fax: (503) 236-1908

The provider's authorized official is Jerrold L Snow .
The authorized official title is Physician and has the following contact phone number (503) 236-1830.

The enumeration date for this NPI number is 2/12/2008 and was last updated on 9/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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