Individual
CONNIE LEE SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12100 SE STEVENS CT STE 106, PORTLAND, OR 97266-8707
(503) 653-1442
Mailing address
12100 SE STEVENS CT STE 106, CLACKAMAS, OR 97086-4707
(503) 353-7291
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
07/16/2007
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