Individual
DR. JENNIFER KATHLEEN CONNOR-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5331 SW MACADAM AVE, SUITE 363, PORTLAND, OR 97239-6104
(971) 338-3481
(971) 285-4510
Mailing address
5331 SW MACADAM AVE, SUITE 363, PORTLAND, OR 97239-6104
(971) 338-3481
(971) 285-4510
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
1496
OR
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1496
OR
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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