Individual
JACK EDWARD SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 SW 30TH ST, REDMOND, OR 97756-8239
(541) 668-0255
Mailing address
160 SW 30TH ST, REDMOND, OR 97756-8239
(541) 668-0255
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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