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Individual

GENELL C SNYDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
511 SW 10TH AVEUNE, SUITE 1109, PORTLAND,, OR 97205
(503) 888-2979
Mailing address
511 SW 10TH AVE, SUITE 1109, PORTLAND, OR 97205-2732
(503) 888-2979

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6360
OR

Other

Enumeration date
12/17/2008
Last updated
12/17/2008
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