Provider Demographics
NPI:1275115537
Name:G SCHNEPPER DDS MS - OREGON PC
Entity Type:Organization
Organization Name:G SCHNEPPER DDS MS - OREGON PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:BARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-287-9710
Mailing Address - Street 1:4707 NE TILLAMOOK ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-2057
Mailing Address - Country:US
Mailing Address - Phone:503-287-9710
Mailing Address - Fax:503-281-7098
Practice Address - Street 1:4707 NE TILLAMOOK ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-2057
Practice Address - Country:US
Practice Address - Phone:503-287-9710
Practice Address - Fax:503-281-7098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-26
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental