Individual
KARA JEANNE CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
(503) 494-1933
Mailing address
707 SW GAINES ST, MAIL CODE CDRC-P, PORTLAND, OR 97239-2901
(503) 494-1926
(503) 494-1933
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
MD151770
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2007
Last updated
03/13/2013
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