Provider Demographics
NPI:1164677951
Name:SNETHEN, JOSEPH HAROLD (LMT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:HAROLD
Last Name:SNETHEN
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9962 SELAH SPRINGS RD NE
Mailing Address - Street 2:
Mailing Address - City:SILVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97381-9546
Mailing Address - Country:US
Mailing Address - Phone:503-871-9420
Mailing Address - Fax:
Practice Address - Street 1:9962 SELAH SPRINGS RD NE
Practice Address - Street 2:
Practice Address - City:SILVERTON
Practice Address - State:OR
Practice Address - Zip Code:97381-9546
Practice Address - Country:US
Practice Address - Phone:503-871-9420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR15446225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist