Provider Demographics
NPI:1457744690
Name:SNYDER, SHEILA MARIE (CFA)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:MARIE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86462 ROSE HILL RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:OR
Mailing Address - Zip Code:97439-9222
Mailing Address - Country:US
Mailing Address - Phone:503-481-2862
Mailing Address - Fax:
Practice Address - Street 1:86462 ROSE HILL RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:OR
Practice Address - Zip Code:97439-9222
Practice Address - Country:US
Practice Address - Phone:503-481-2862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-12
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR15-184246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant