Snake River Pediatrics, PC
Snake River Pediatrics, PC is a Pediatrics Physician in Fruitland, Idaho. Licensed in Oregon. Registered with an NPI since 2016.
- Licensed in
- OR
- In the registry since
- 2016
- Specialties on file
- 3
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1100 NW 12th StFruitland, ID 83619-5040
Phone: (208) 452-6556
Fax: (541) 216-6557
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X (OR) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X (OR) |
| Pediatric Nurse Practitioner | Taxonomy 363LP0200X (OR) |
Record details
| NPI number | 1871952267 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Matthew Berria — President · (208) 740-4518 |
| NPI enumerated | February 15, 2016 |
| Last updated in NPPES | February 1, 2024 |
| Certification date | February 1, 2024 |
| Mailing address | 1100 Nw 12th St, Fruitland, ID 83619-5040 |
Other providers in Fruitland
-
Abby Lynn Davis
1100 NW 12th St, Fruitland, ID 83619-5040 · (208) 452-6556
-
Michelle F Devoe, DO
1100 NW 12th St, Fruitland, ID 83619-5040 · (208) 452-6556
-
Snake River Pediatrics, PC
1100 NW 12th St, Fruitland, ID 83619-5040 · (208) 452-6556