Individual
TERESA ANN CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 E BURNSIDE ST, PORTLAND, OR 97214-1831
(503) 238-5203
(503) 238-5202
Mailing address
2901 E BURNSIDE ST, PORTLAND, OR 97214-1831
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M6604
—
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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