Individual
JAN SNYDER ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1210 SE OAK ST, SUITE 5, PORTLAND, OR 97214-1427
(503) 804-1627
Mailing address
28 SE 28TH AVENUE, CONDO 202, PORTLAND, OR 97214
(503) 804-1627
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5192
OR
Other
Enumeration date
01/09/2006
Last updated
11/20/2016
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