SearchOregon225700000X

Carissa Conner, LMT

NPI 1710282876 · on the registry since 2011 · sole proprietor

Practice

Address
1427 Nw Flanders Suite A
Portland, OR 97209
Phone
(503) 972-0235
Fax
(503) 379-1523

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-09-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon