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1013771344
SONNY SNYDER
GRESHAM, OR
NPI
1013771344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR 24-QMHP-R-2997)
Enumeration Date
2024-02-07
Last Update Date
2024-08-08
Business Address
SONNY SNYDER QMHP-R
1700 NW CIVIC DR
GRESHAM, OR 97030-3770
Phone number: 503-666-8832
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Mailing Address
SONNY SNYDER QMHP-R
2017 SW 2ND CT
GRESHAM, OR 97080-6760
Phone number: 503-836-2360
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