Individual
DR. JAMES CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9135 SW BARNES RD, SUITE 263, PORTLAND, OR 97225-6646
(503) 216-6032
Mailing address
9135 SW BARNES RD, SUITE 263, PORTLAND, OR 97225-6646
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
14115
SC
1835X0200X
Oncology Pharmacist
22457
MD
1835X0200X
Oncology Pharmacist
PH60368429
WA
1835X0200X
Oncology Pharmacist
Primary
RPH-0014038
OR
Other
Enumeration date
11/29/2014
Last updated
12/28/2015
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