Individual
STEPHEN N SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 N INTERSTATE AVE, DERMATOLOGY/MOHS SURG CENTRAL INTERSTATE MEDICAL OFFICE, PORTLAND, OR 97227-1106
(503) 331-3041
Mailing address
PO BOX 949, NORTH PLAINS, OR 97133-0949
(831) 277-4763
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
24071
WI
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD28318
OR
Other
Enumeration date
03/17/2006
Last updated
12/27/2022
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