Individual
DAN JAMES CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6200 SW ARCTIC DR, BEAVERTON, OR 97005-9447
(503) 224-2184
Mailing address
7575 SW HALL BLVD APT 68, BEAVERTON, OR 97008-5779
(206) 972-7191
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OR
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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