LARRY CONNER MA LPC PC
Social Work at Burnside St, Portland, OR

License number
Oregon C0099
Category
Social Work
Type
Professional
Owner
Name: MR. LAWRENCE S. CONNER MA LPC
Title: PRESIDENT
Phone: (503) 525-1050
Address
Address
2304 E Burnside St STE 106, Portland, OR 97214
National Provider ID: 1366658130
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LARRY CONNER, M.A., L.P.C., PC

Portland, OR

Registration:
Apr 4, 2001
Addresses:
2136 SE 101 Ave, Portland, OR 97216 (Mailing)
2304 E Burnside STE 106, Portland, OR 97214 (Physical)
State ID:
1346196
Business type:
Domestic Professional Corporation
Agent:
Larry Conner,2136 SE 101 Ave, Portland, OR 97216 (Physical)

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