| Kai Marie Snell Llc | |
|
1504 12th St Oregon City OR 97045-2119 | |
| (503) 334-5405 | |
| (833) 605-7346 |
| Full Name | Kai Marie Snell Llc |
|---|---|
| Speciality | Counselor |
| Location | 1504 12th St, Oregon City, Oregon |
| Authorized Official Name and Position | Stephanie M Snell (OWNER/SOLE MBR) |
| Authorized Official Contact | 5033345405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kai Marie Snell Llc 1504 12th St Oregon City OR 97045-2119 Ph: (503) 334-5405 | Kai Marie Snell Llc 1504 12th St Oregon City OR 97045-2119 Ph: (503) 334-5405 |
| NPI Number | 1306687090 |
|---|---|
| Provider Enumeration Date | 06/05/2024 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Medicare PECOS PAC ID | 7416499645 |
|---|---|
| Medicare Enrollment ID | O20240604000706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306687090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Stephanie M Snell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548528862 PECOS PAC ID: 6800238205 Enrollment ID: I20240701002080 |
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