Individual provider · Type 1 NPI

Kelly Snyder

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1649628645 Active

Practice location

400 NE 7th St
Gresham, OR 97030

Call (503) 661-5455 Map

Mailing address

3905 SE 147th Ave, 97236
Portland, OR 97236-2533

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1649628645

Kelly Snyder's National Provider Identifier is 1649628645, issued on May 31, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, OR. The record was last updated on May 31, 2016.