Individual
MS. ANDREA E CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4455 NE HWY 20, CORVALLIS, OR 97330
(541) 758-1852
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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