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Individual

MS. CAMILLE SABRINA SNYDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1321 NE 99TH AVE, SUITE 100, PORTLAND, OR 97220-9436
(503) 215-9900
(503) 215-4055
Mailing address
PO BOX 3158, ATTN: CREDENTIALING, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00972
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500604474
OR
Enumeration date
11/01/2006
Last updated
10/13/2021
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