Individual ProviderFern L SnogrenSocial WorkerBehavioral Health & Social Service ProvidersPractice Address629 Altamont St, Ashland, OR 97520-0157(541) 482-3328(541) 631-5044PECOS EnrollmentBased on the most recent information from CMS, provider Fern L Snogren does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 7:33 AM.Profile DetailsProvider ID1609004522Provider TypeIndividualFull NameSnogren, Fern LTitleMrs.CredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date6/30/2009Last Updated5/4/2016Contact InformationPractice LocationPractice Address629 Altamont St, Ashland, OR 97520-0157Phone(541) 482-3328Fax(541) 982-2265Mailing LocationMailing AddressPO Box 1426, Talent, OR 97540-8519Phone(541) 631-5044Fax(541) 631-2638Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseL5191OregonCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUNLICENSEDCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID45-4333362DescriptionOtherIssuerTAX IDENTIFICATION NUMBEROregon