Individual provider Active NPI

Connor Antony Laflen

  • Student in an Organized Health Care Education/Training Program
  • Corvallis, OR
National Provider Identifier
1699668053
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
PI-0014544 Issued in OR
Practice address
1601 SW Jefferson Ave # 203
Corvallis, OR 97331-8656
Phone
(541) 974-2421
NPI assigned
Jun 2, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PI-0014544 OR Primary

Addresses

Primary practice location

1601 SW Jefferson Ave # 203
Corvallis, OR 97331-8656

Mailing address

4675 SW Chunut CT
Tualatin, OR 97062-6719
Phone (503) 490-4002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PI-0014544ORMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1699668053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 SW CHUNUT CT",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970626719",
            "telephone_number": "503-490-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW JEFFERSON AVE # 203",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973318656",
            "telephone_number": "541-974-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFLEN",
        "first_name": "CONNOR",
        "middle_name": "ANTONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": "PI-0014544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.