Active NPI
Colleen Elizabeth Conner
- Home Health Registered Nurse
- Salem, OR
National Provider Identifier
1205744547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 202110538RN
- Practice address
- 2608 Cascadia Industrial St SE
Salem, OR 97302-1372 - Phone
- (503) 371-4567
- NPI assigned
- Aug 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 202110538RN | OR | Primary |
Addresses
Primary practice location
2608 Cascadia Industrial St SE
Salem, OR 97302-1372
Mailing address
1134 Swingwood CT NE
Keizer, OR 97303-3503
Phone (503) 856-6117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1205744547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 SWINGWOOD CT NE",
"city": "KEIZER",
"state": "OR",
"postal_code": "973033503",
"telephone_number": "503-856-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2608 CASCADIA INDUSTRIAL ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973021372",
"telephone_number": "503-371-4567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNER",
"first_name": "COLLEEN",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": "OR",
"license": "202110538RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.