Individual
CONNOR O'SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1234 HIGH ST, EUGENE, OR 97401-3238
(541) 342-8437
Mailing address
1258 HIGH ST, EUGENE, OR 97401-3238
(541) 342-8437
(458) 201-7150
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
08/19/2020
Last updated
09/26/2021
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