Individual
MR. JON ALLAN SCHNEPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
19201 SE DIVISION ST, GRESHAM, OR 97030-5227
(503) 669-2500
(503) 661-4113
Mailing address
19201 SE DIVISION ST STE 100, GRESHAM, OR 97030-5333
(503) 669-2500
(503) 661-4113
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1068
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114907
PTAN
OR
Enumeration date
11/22/2005
Last updated
03/13/2013
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