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Individual

MS. COURTNEY CONNOLLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7955 SE 17TH AVE, APT. 1, PORTLAND, OR 97202-6763
(503) 923-3189
Mailing address
7955 SE 17TH AVE, APT. 1, PORTLAND, OR 97202-6763
(503) 923-3189

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary

Other

Enumeration date
05/13/2010
Last updated
05/13/2010
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