Connor-Smith, Jennifer Kathleen

Connor-Smith, Jennifer Kathleen is an sole proprietor health care provider with primary practice located at 5331 Sw Macadam Ave Suite 363, Portland OR 97239-6104. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Connor-Smith, Jennifer Kathleen can be contacted via phone (971) 338-3481.

Contact Information

Primary practice address
5331 Sw Macadam Ave Suite 363 Portland OR 97239-6104
Phone: (971) 338-3481
Fax: (971) 285-4510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 1496 Oregon
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1496 Oregon

Profile Details

NPI number 1699077966
LBN Legal business name Connor-Smith, Jennifer Kathleen
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2010
Last updated Nov 18th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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