| Burkley Snow, MD | |
|
9250 Sw Hall Blvd, Tigard, OR 97223-6721 | |
| (503) 293-0161 | |
| Not Available |
| Full Name | Burkley Snow |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 15 Years |
| Location | 9250 Sw Hall Blvd, Tigard, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336468404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD60660136 (Washington) | Secondary |
| 208600000X | Surgery | MD195974 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Sacred Heart Medical Center - Riverbend | Springfield, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 0648183608 | 1338 |
| Peacehealth | 8527016039 | 172 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740223874 PECOS PAC ID: 8527016039 Enrollment ID: O20050111000353 |
| Mailing Address | Practice Location Address |
|---|---|
| Burkley Snow, MD 800 Sw 13th Ave, Portland, OR 97205-1902 Ph: (503) 221-0161 | Burkley Snow, MD 9250 Sw Hall Blvd, Tigard, OR 97223-6721 Ph: (503) 293-0161 |
Dr. Jason Christopher Gilster, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7421 Sw Bridgeport Rd Ste 215, Tigard, OR 97224 Phone: 971-297-3007 Fax: 503-598-7765 | |
Dr. Kathleen Alison Dunham, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 12123 Sw 69th Ave, Tigard, OR 97223 Phone: 971-708-7600 Fax: 971-371-5230 | |
Andre D Grisham, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-221-0161 |