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Individual

CONOR EDWARD DUFFY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CADC-I

Contact information

Practice address
2318 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-3715
(503) 335-8611
Mailing address
1625 SW ALDER ST APT 402, PORTLAND, OR 97205-1950
(860) 324-2372

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-10-10896
OR
390200000X
Student in an Organized Health Care Education/Training Program
OR

Other

Enumeration date
01/06/2023
Last updated
09/26/2024
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