Healthcare Provider Details

I. General information

NPI: 1538872395
Provider Name (Legal Business Name): ERIN SNODGRASS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2022
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3302 RAYMOND ST
KLAMATH FALLS OR
97603-7050
US

IV. Provider business mailing address

3302 RAYMOND ST
KLAMATH FALLS OR
97603-7050
US

V. Phone/Fax

Practice location:
  • Phone: 541-851-1639
  • Fax:
Mailing address:
  • Phone: 541-851-1639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number10059446
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number201601663RN
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: