Individual
KATHLEEN MARIE CONNAIR-RAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT SPEC
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 841-0484
Mailing address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 841-0484
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
TWH1669
OR
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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