Provider Demographics
NPI:1053194126
Name:SNEED, MEGAN (EPRDH)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:SNEED
Suffix:
Gender:F
Credentials:EPRDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENS
Mailing Address - State:OR
Mailing Address - Zip Code:97051-2540
Mailing Address - Country:US
Mailing Address - Phone:530-586-2086
Mailing Address - Fax:
Practice Address - Street 1:51509 COLUMBIA RIVER HWY
Practice Address - Street 2:
Practice Address - City:SCAPPOOSE
Practice Address - State:OR
Practice Address - Zip Code:97056-4407
Practice Address - Country:US
Practice Address - Phone:503-987-1923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
124Q00000X
ORH8500124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist