Organization
SNAKE RIVER PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN K AMES MD (PRESIDENT)
(541) 881-2380
Entity
Organization
Contact information
Practice address
1050 SW 3RD AVE STE 3200, ONTARIO, OR 97914-4560
(541) 881-2380
(541) 881-2389
Mailing address
1050 SW 3RD AVE STE 3200, ONTARIO, OR 97914-4560
(541) 881-2380
(541) 881-2389
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
PA000573
OR
261QR1300X
Rural Health Clinic/Center
Primary
PA000573
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982791810
NPI
—
05
—
500608077
—
OR
Enumeration date
07/08/2015
Last updated
07/08/2015
Update your record
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