Individual
MATHEW SNODGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 NE NEFF RD, BEND, OR 97701-6337
(541) 706-4800
(541) 706-4806
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD168036
OR
390200000X
Student in an Organized Health Care Education/Training Program
PG158934
OR
Other
Enumeration date
05/21/2012
Last updated
11/15/2021
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