| Dr Jerrold L Snow, DO | |
|
6564 Se Lake Rd Ste 200, Milwaukie, OR 97222 | |
| (503) 908-5880 | |
| (888) 475-8729 |
| Full Name | Dr Jerrold L Snow |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 6564 Se Lake Rd Ste 200, Milwaukie, 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 |
|---|---|---|---|
| 1053307645 | NPI | - | NPPES |
| 033840 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D017285 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Milwaukie Hospital | Milwaukie, OR | Hospital |
| Providence Willamette Falls Medical Center | Oregon city, OR | Hospital |
| Adventist Health Portland | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jerrold L Snow Llc | 2062597404 | 3 |
| Entity Name | Jerrold L Snow Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922276021 PECOS PAC ID: 2062597404 Enrollment ID: O20080311000018 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerrold L Snow, DO 6564 Se Lake Rd Ste 200, Milwaukie, OR 97222-2237 Ph: (503) 908-5880 | Dr Jerrold L Snow, DO 6564 Se Lake Rd Ste 200, Milwaukie, OR 97222 Ph: (503) 908-5880 |
Johanna Beth Warren, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222 Phone: 503-513-8950 | |
Rachelle Kirsten Sherard, LPN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10330 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-513-1300 | |
Dr. Jennifer Dawn Herber, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3033 Se Monroe St, Milwaukie, OR 97222 Phone: 503-659-4988 Fax: 503-659-4730 | |
Joshua D Reagan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222 Phone: 503-513-8950 Fax: 503-772-4337 | |
William R Gillanders, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222 Phone: 503-513-8950 Fax: 503-513-8951 | |
Mrs. Elizabeth E. Callaghan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3033 Se Monroe St, Milwaukie, OR 97222 Phone: 503-659-4988 Fax: 503-659-4730 |