Individual
REGINALD TIMOTHY SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7211 SE 62ND AVE, PORTLAND, OR 97206-7564
(503) 913-9456
Mailing address
7211 SE 62ND AVE, PORTLAND, OR 97206-7564
(503) 913-9456
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/14/2008
Last updated
07/01/2009
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