Individual
COREY CONNARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16365 NW TWIN OAKS DR, SUITE 200, BEAVERTON, OR 97006
(503) 828-3402
Mailing address
5119 NE 17TH AVE, PORTLAND, OR 97211-5624
(330) 343-1146
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A14427
OR
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/28/2022
Last updated
11/28/2023
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