| Larry Conner Ma Lpc Pc | |
|
2304 E Burnside St Ste 106 Portland OR 97214-1689 | |
| (503) 252-1050 | |
| Not Available |
| Full Name | Larry Conner Ma Lpc Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2304 E Burnside St Ste 106, Portland, Oregon |
| Authorized Official Name and Position | Lawrence S. Conner (PRESIDENT) |
| Authorized Official Contact | 5035251050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Conner Ma Lpc Pc 6615 N Curtis Ave Portland OR 97217-4061 Ph: (503) 525-1050 | Larry Conner Ma Lpc Pc 2304 E Burnside St Ste 106 Portland OR 97214-1689 Ph: (503) 252-1050 |
| NPI Number | 1366658130 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366658130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C0099 (Oregon) | Primary |
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