SNAKE RIVER PEDIATRICS, PC (NPI# 1720489396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720489396 |
| Entity Type | Organization |
| Organization Name | SNAKE RIVER PEDIATRICS, PC |
| Practice Address |
840 Sw 4th Avenue Suite 105 Ontario OR 97914 |
| Practice Telephone | 5418812380 |
| Practice Fax Number | 5418812389 |
| Mailing Telephone | 5418812380 |
| Mailing Fax Number | 5418812389 |
| Enumeration Date | 2014-09-14 |
| Last Update Date | 2018-08-13 |
| Authorized Official Name | STEPHEN K AMES (VICE PRESIDENT) |
| Authorized Official Telephone | 5418812380 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
PA00913 | OR | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871952267 | Snake River Pediatrics, PC | Physician Assistant | 1050 Sw 3rd Ave Ste 3200, Ontario, OR 97914-4560 | 2016-02-15 |
| Street Address |
840 SW 4TH AVENUE SUITE 105 |
| City | ONTARIO |
| State | OR |
| Zip Code | 97914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437529 | Michelle F Devoe | Pediatrics | 840 Sw 4th Avenue, Suite 105, Ontario, OR 97914 | 2005-06-14 |
| 1720458235 | Kailey R Meskill | Physician Assistant | 840 Sw 4th Avenue, Suite 105, Ontario, OR 97914 | 2015-09-28 |
| 1982907747 | Mary Lynn James | Physician Assistant | 840 Sw 4th Avenue, Suite 105, Ontario, OR 97914 | 2010-12-15 |
| 1679752802 | Randolph E Peterson | Orthopaedic Surgery | 840 Sw 4th Avenue, Ontario, OR 97914-2627 | 2007-10-24 |
| 1235329707 | Chelsie M Lewis | Nurse Practitioner | 840 Sw 4th Avenue, Suite 105, Ontario, OR 97914 | 2007-07-31 |
| 1902985740 | Sage Michele Benintendi-stringer | Physician Assistant | 840 Sw 4th Avenue, Suite 105, Ontario, OR 97914 | 2006-11-03 |
| 1982791810 | Matthew Joseph Berria | Physician Assistant | 840 Sw 4th Avenue, Suite 105, Ontario, OR 97914 | 2006-10-10 |
| 1033155767 | Stephen K Ames | Pediatrics | 840 Sw 4th Avenue, Suite 105, Ontario, OR 97914 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
| 1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
| 1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
| 1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
| 1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
| 1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
| 1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
| 1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
| Find all providers in zip 97914 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003227901 | El Dorado Community Service Ecnter | Clinic/Center | 123 W E St, Ontario, CA 91762-3400 | 2014-05-13 |
| 1205203510 | Sushil Anand M.d., Faap | Clinic/Center | 304 W F St, Ontario, CA 91762-3206 | 2015-08-24 |
| 1215288048 | Catareya Liep Md Inc | Clinic/Center | 437 N Campus Ave, Ontario, CA 91764-4229 | 2012-09-19 |
| 1578899431 | Clapperton Np-c LLC | Clinic/Center | 1008 Sw 4th Ave, Ontario, OR 97914-2128 | 2009-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158774 | G&h Healthcare Inc | Clinic/Center | 17022 Sw Pacific Hwy Apt 210, Tigard, OR 97224-3400 | 2020-09-11 |
| 1750906509 | Alpha Care Family Medicine | Clinic/Center | 14455 Sw Allen Blvd Ste 100, Beaverton, OR 97005-4428 | 2020-06-08 |
| 1104447895 | Beyond Health LLC | Clinic/Center | 6440 Nw Mcmullen Ave, Portland, OR 97229-1158 | 2020-05-04 |
| 1851942536 | Careatc | Clinic/Center | 1101 W Main St Ste 103, Medford, OR 97501-2966 | 2019-09-24 |
| 1871153585 | Full Bloom Natural Medicine, LLC | Clinic/Center | 922 Nw Circle Blvd Ste 180, Corvallis, OR 97330-1483 | 2019-06-14 |
| 1831757475 | Structural Solutions Chiropractic | Clinic/Center | 121 Nw Everett St, Portland, OR 97209-4049 | 2019-05-29 |
| 1770147357 | Uptown Providers PC | Clinic/Center | 397 Warner Milne Rd, Oregon City, OR 97045-4045 | 2019-04-29 |
| 1720549058 | Barbara Gilbertson, Do, Inc. | Clinic/Center | 1803b Main St, Klamath Falls, OR 97601-2636 | 2019-03-28 |
| 1033674841 | Jeremy Mikolai Nd Inc | Clinic/Center | 2540 Ne M L King Blvd, Portland, OR 97212-3732 | 2019-02-06 |
| 1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SNAKE RIVER PEDIATRICS, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.