Provider Demographics
NPI:1366697724
Name:NOEL SNODGRASS LLC
Entity type:Organization
Organization Name:NOEL SNODGRASS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:SNODGRASS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-213-3745
Mailing Address - Street 1:1220 SW MORRISON
Mailing Address - Street 2:SUITE 900
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-2228
Mailing Address - Country:US
Mailing Address - Phone:503-213-3745
Mailing Address - Fax:503-213-3745
Practice Address - Street 1:1220 SW MORRISON
Practice Address - Street 2:SUITE 900
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2228
Practice Address - Country:US
Practice Address - Phone:503-213-3745
Practice Address - Fax:503-213-3745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-25
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty