Individual
CHRISTOPHER ROBERT CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7810
(503) 494-8671
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7810
(503) 494-8671
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
MD174551
OR
208600000X
Surgery Physician
MD174551
OR
Other
Enumeration date
04/24/2011
Last updated
07/24/2020
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