Individual
MR. JOSHUA GARDNER SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2850 SE POWELL VALLEY RD, GRESHAM, OR 97080-1494
(503) 666-5050
(503) 666-1162
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11362623-1206
UT
363A00000X
Physician Assistant
PA195884
OR
363A00000X
Physician Assistant
Primary
PA61000072
WA
Other
Enumeration date
08/08/2019
Last updated
03/03/2023
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