Active NPI
Eric Thomas Snell
- Internal Medicine Physician
- Lebanon, OR
National Provider Identifier
1962099382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO224888
- Practice address
- 200 Mullins Dr
Lebanon, OR 97355-3983 - Phone
- (541) 259-0235
- NPI assigned
- Dec 31, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DO224888 | OR | Primary |
Addresses
Primary practice location
200 Mullins Dr
Lebanon, OR 97355-3983
Mailing address
200 Mullins Dr
Lebanon, OR 97355-3983
Phone (541) 259-0235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230613003104 | OR | Order and Referring Only - Internal Medicine | 9931566528 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Col of Osteo Med of the Pacific at Lebanon, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
815 NW 9TH St
Suite 215
Corvallis, OR 97330-6173
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO224888 | OR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1962099382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MULLINS DR",
"city": "LEBANON",
"state": "OR",
"postal_code": "973553983",
"telephone_number": "541-259-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MULLINS DR",
"city": "LEBANON",
"state": "OR",
"postal_code": "973553983",
"telephone_number": "541-259-0235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNELL",
"first_name": "ERIC",
"middle_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-31",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "DO224888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.