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Individual

MS. AMY GOULEY SNOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
360 SW BOND ST STE 310, BEND, OR 97702-3556
(541) 727-3376
(800) 514-0191
Mailing address
PO BOX 400, BEND, OR 97709-0400
(541) 727-3376
(800) 514-0191

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
17111
CA
363AM0700X
Medical Physician Assistant
60240552
WA
363AM0700X
Medical Physician Assistant
Primary
PA179314
OR

Other

Enumeration date
12/07/2005
Last updated
11/18/2024
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