Provider Demographics
NPI:1588609853
Name:SNIFFEN, BARBARA (DO)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:SNIFFEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1465 NE 7TH ST
Mailing Address - Street 2:
Mailing Address - City:GRANTS PASS
Mailing Address - State:OR
Mailing Address - Zip Code:97526-1303
Mailing Address - Country:US
Mailing Address - Phone:541-471-0100
Mailing Address - Fax:541-474-4628
Practice Address - Street 1:1465 NE 7TH ST
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97526-1303
Practice Address - Country:US
Practice Address - Phone:541-471-0100
Practice Address - Fax:541-474-4628
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDO166452080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR011556Medicaid
ORE62345Medicare UPIN