Individual
MS. LUCINDA CONNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5139 N LOMBARD ST, PORTLAND, OR 97203-4403
(503) 285-9871
Mailing address
100 CRESCENT DR, KELSO, WA 98626-5307
(360) 577-0668
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
097006714RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200650184NP
OR
Other
Enumeration date
03/15/2007
Last updated
11/02/2010
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