Individual
TYLER N CONNORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(510) 268-8120
Mailing address
5752 NW 183RD AVE, PORTLAND, OR 97229-3508
(971) 294-2397
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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