Jennifer Kathleen Connor-smith PHD

NPI 1699077966 - Psychologist - 103TB0200X

NPI Details
NPI 1699077966
Gender Female
Enumeration Date 11/18/2010
Last Updated 11/18/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
5331 SW MACADAM AVE
SUITE 363
PORTLAND OR, 97239-6104, US
Phone (971) 338-3481
Fax (971) 285-4510
Business Location
5331 SW MACADAM AVE
SUITE 363
PORTLAND OR, 97239-6104, US
Phone (971) 338-3481
Fax (971) 285-4510
Toxanomy
Taxonomy Code 103TB0200X
License State Oregon
License Number 1496
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According to our database, Dr. Jennifer Kathleen Connor-smith PHD NPI is 1699077966, taxonomy code is 103TB0200X and license number is 1496, license state is located at Oregon. Jennifer Kathleen Connor-smith PHD physically located at 5331 Sw Macadam Ave, Portland OR, 97239-6104. NPI Number Jennifer Kathleen Connor-smith PHD has the Individual type.

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1699077966 NPI number is provided on an as is basis without warranty of any kind. 1699077966 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Kathleen Connor-smith PHD are for informational purposes only.