Individual provider Active NPI

Eric Reed Snow

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
National Provider Identifier
1497899421
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
9268 SE Clinton St
2100 SE Belmont
Portland, OR 97266-1456
Phone
(503) 872-0483
Fax
(503) 872-0481
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

9268 SE Clinton St
2100 SE Belmont
Portland, OR 97266-1456

Mailing address

7920 SE 52ND Ave
Portland, OR 97206-9122
Phone (503) 788-3922

Other identifiers 1

IdentifierTypeStateIssuer
171M00000XOtherORSKILLS TRAINER II

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497899421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 SE 52ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972069122",
            "telephone_number": "503-788-3922",
            "fax_number": "503-788-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9268 SE CLINTON ST",
            "address_2": "2100 SE BELMONT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661456",
            "telephone_number": "503-872-0483",
            "fax_number": "503-872-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "ERIC",
        "middle_name": "REED",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SKILLS TRAINER II",
            "identifier": "171M00000X",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.