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NPI Code Detail

MEDICARE: ANNE CONNOR LCSW

MEDICARE: ANNE CONNOR LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker1940OR

General Provider Information

NPI Number : 1588993265
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE CONNOR LCSW
Provider Business Mailing Address
First Line : 3544 SE 66TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97206-2626
Country : US
Telephone Number : 503-890-3386
Fax Number :
Provider Business Practice Location Address
First Line : 6536 SE DUKE ST
Second Line :
City : PORTLAND
State : OR
Zip : 97206-6665
Country : US
Telephone Number : 503-890-3386
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2009
Last Update Date : 06/06/2025

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Directions to “ ANNE CONNOR LCSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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