Individual
CONNER JAMES SHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 SE 190TH AVE, PORTLAND, OR 97233-5999
(503) 988-5000
Mailing address
619 NW 6TH AVE, PORTLAND, OR 97209-3991
(503) 988-3674
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2480
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175T00000X
TAXONOMY CODES
—
Enumeration date
05/01/2018
Last updated
11/04/2025
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