Individual
MS. R. CELESTE CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12261 NE KNOTT ST., PORTLAND, OR 97220
(503) 253-8883
(503) 253-4401
Mailing address
3114 SE 131ST AVE, PORTLAND, OR 97236-3228
(503) 761-0656
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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