Individual
KENDALL L. SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-4910
(503) 297-7641
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-4910
(503) 297-7641
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
200660037CRNA
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659357036
—
WA
05
—
213222
—
OR
Enumeration date
12/19/2005
Last updated
09/05/2014
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