IndividualActive
Stephen Snow, MD
NPI 1205805405 · MOHS-Micrographic Surgery Physician · Portland, OR
Provider details
- NPI number
- 1205805405
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD28318 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3600 N Interstate Ave
Dermatology/Mohs Surg Central Interstate Medical Office
Portland, OR 97227-1106
Phone: (503) 331-3041
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 949
North Plains, OR 97133-0949
Registry dates
- Enumerated
- 2006-03-17
- Last updated
- 2022-12-27
- Certified
- 2022-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.