KC SNELLGROVE

NPI # 

Practice Address:

1359 Ne 35Th Ave

Portland, OR, 97232-1941

Practice Phone:

503-232-7460

Practice Fax:

503-232-0203

License Number:

27 1956

License State:

OR

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Code:

261Q00000X