Individual
MR. RYAN CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., LPC
Contact information
Practice address
1305 GOUCHER ST., AMITY, OR 97101
(503) 857-7501
Mailing address
PO BOX 729, AMITY, OR 97101
(503) 857-7501
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1852
WV
101YP2500X
Professional Counselor
C3999
OR
Other
Enumeration date
12/20/2007
Last updated
09/02/2016
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