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NPI Code Detail

MEDICARE: KATIE SNYDER

MEDICARE: KATIE SNYDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1447780150
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE SNYDER
Provider Business Mailing Address
First Line : 1856 GRAND PRAIRIE RD SE
Second Line :
City : ALBANY
State : OR
Zip : 97322-5521
Country : US
Telephone Number : 541-967-6597
Fax Number :
Provider Business Practice Location Address
First Line : 1856 GRAND PRAIRIE RD SE
Second Line :
City : ALBANY
State : OR
Zip : 97322-5521
Country : US
Telephone Number : 541-967-6597
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2017
Last Update Date : 07/21/2022

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Directions to “ KATIE SNYDER ” Practice Location

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