Individual
LINDA JANE CONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
16460 NW GRAF ST, PORTLAND, OR 97229-7951
(503) 645-3086
Mailing address
16460 NW GRAF ST, PORTLAND, OR 97229-7951
(503) 645-3086
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
081046638RN
OR
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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