Healthcare Provider Details

I. General information

NPI: 1558226001
Provider Name (Legal Business Name): SRSNOW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 COLUMBIA POINT DR
RICHLAND WA
99352-4375
US

IV. Provider business mailing address

90 COLUMBIA POINT DR
RICHLAND WA
99352-4375
US

V. Phone/Fax

Practice location:
  • Phone: 509-946-9313
  • Fax:
Mailing address:
  • Phone: 509-946-9313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: SUZANNE SNOW
Title or Position: OWNER
Credential:
Phone: 509-946-9313