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NPI Code Detail

MEDICARE: MS. ERIN VICTORIA SNEDDON VAN KLEEK LCSW

MEDICARE: MS. ERIN VICTORIA SNEDDON VAN KLEEK LCSW
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
1104100000XSocial WorkerLW60421595WA
2104100000XSocial WorkerL4145OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1L4145OTHEROROREGON STATE BOARD OF CLINICAL SOCIAL WORKERS

General Provider Information

NPI Number : 1679724298
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERIN VICTORIA SNEDDON VAN KLEEK LCSW
Provider Business Mailing Address
First Line : 500 NE MULTNOMAH ST STE 100
Second Line :
City : PORTLAND
State : OR
Zip : 97232-2031
Country : US
Telephone Number : 800-813-2000
Fax Number : 503-626-4149
Provider Business Practice Location Address
First Line : 3550 N INTERSTATE AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97227-1196
Country : US
Telephone Number : 800-813-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2008
Last Update Date : 06/18/2026

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