WOODSTOCK FAMILY MEDICINE
NPI 1922276021
Family Medicine in Portland, OR

Active since February 12, 2008
5536 SE WOODSTOCK BLVD, PORTLAND, OR 97206(503) 236-1830(503) 236-1908 Get Directions Write a Review

NPPES record last updated: September 25, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Woodstock Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOODSTOCK FAMILY MEDICINE (NPI 1922276021) is a healthcare organization registered as a family medicine in Portland, Oregon and active in the NPI registry since February 2008. The organization lists Jerrold L Snow, Physician, as its authorized official.

NPPES Registry Identity

NPI1922276021
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJERROLD L SNOW LLC
Location Address5536 SE WOODSTOCK BLVDPortland, OR 97206-6829
Mailing Address5536 Se Woodstock BlvdPortland, OR 97206-6829 · (503) 236-1830 · Fax (503) 236-1908
Fax(503) 236-1908
Organization SubpartNo
Authorized OfficialJerrold L SnowPhysician · (503) 236-1830
Enumeration DateFebruary 12, 2008
Last NPPES UpdateSeptember 25, 2008
✔ NPI 1922276021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · D017285
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5536 SE WOODSTOCK BLVD, Portland, OR 97206

Other Names 1

Doing Business AsWoodstock Family Medicine

Other Identifiers 3

Medicaid033840OR
Medicare UPINF00325OR
Medicare PIN08WCJXLE

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Woodstock Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Woodstock Family Medicine, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1053307645
6564 SE LAKE RD STE 200
Milwaukie, OR 97222
(503) 908-5880
✔ PECOS✔ Accepts Medicare3.6 mi
Obstetrics/Gynecology
NPI 1770576340
6564 SE LAKE RD STE 200
Milwaukie, OR 97222
(503) 908-5880
✔ PECOS✔ Accepts Medicare3.6 mi
Obstetrics/Gynecology
NPI 1790905164
6564 SE LAKE RD STE 200
Milwaukie, OR 97222
(503) 908-5880
✔ PECOS✔ Accepts Medicare3.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerrold L Snow LLC's NPI number?

The NPI number for Jerrold L Snow LLC is 1922276021. It was assigned to this organization in the NPPES registry on February 12, 2008. The provider is doing business as Woodstock Family Medicine.

Where is Jerrold L Snow LLC located?

Jerrold L Snow LLC is located at 5536 SE Woodstock Blvd, Portland, OR 97206. The listed phone number is (503) 236-1830.

What is Jerrold L Snow LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jerrold L Snow LLC enrolled in Medicare?

Yes. Jerrold L Snow LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jerrold L Snow LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Jerrold L Snow LLC, in Family Practice and Obstetrics/Gynecology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jerrold L Snow LLC was last updated on September 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.