Cannon, Breanne
Cannon, Breanne is an individual health care provider with primary practice located at 200 Ne Mother Joseph Pl Ste 300 , Vancouver WA 98664. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Cannon, Breanne can be contacted via phone (360) 254-6161.Contact Information
Primary practice address
200 Ne Mother Joseph Pl Ste 300
Vancouver WA 98664
Phone: (360) 254-6161
Fax: (360) 449-1146
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA 60234603 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA 60234603 | Washington |
Profile Details
| NPI number | 1003050071 |
|---|---|
| LBN Legal business name | Cannon, Breanne |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2009 |
| Last updated | Apr 13th, 2021 - about 3 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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