Doctor Name: | MR. JON ALLAN SCHNEPEL |
NPI Number: | 1619950797 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 1068 |
Business Practice Address: | 19201 Se Division St Gresham, OR - 970305227 |
Business Phone Number: | 5036692500 |
Business Fax Number: | 5036614113 |
Mailing Address: | 19201 Se Division St Ste 100, GRESHAM |
State: | OR |
Postal Code: | 970305333 |
Phone Number: | 5036692500 |
Fax Number: | 5036614113 |
NPI Enumeration Date: | 11/22/2005 |
NPI Last Update Date: | 03/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 1068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |