MEDICARE: ERIN SNODGRASS CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	10059446	OR
2	163WL0100X	Lactation Consultant (Registered Nurse)	201601663RN	OR
3	374J00000X	Doula

General Provider Information

NPI Number	:	1538872395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN SNODGRASS CNM

Provider Business Mailing Address
First Line	:	3302 RAYMOND ST
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97603-7050
Country	:	US
Telephone Number	:	541-851-1639
Fax Number	:

Provider Business Practice Location Address
First Line	:	3302 RAYMOND ST
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97603-7050
Country	:	US
Telephone Number	:	541-851-1639
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2022
Last Update Date	:	05/11/2026

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