Individual
MEGAN MARIE CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5050 NE HOYT ST STE 315, PORTLAND, OR 97213-2982
(503) 215-8580
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
439398
OH
363LF0000X
Family Nurse Practitioner
202203236NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
4704423811
MI
Other
Enumeration date
02/28/2022
Last updated
10/01/2025
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