Cannon, Christina L

Cannon, Christina L is an individual health care provider with primary practice located at 63311 Jamison St , Bend OR 97703-8288. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Other Service Providers / Peer Specialist is her primary health care specialty. Cannon, Christina L can be contacted via phone (541) 332-7500.

Contact Information

Primary practice address
63311 Jamison St Bend OR 97703-8288
Phone: (541) 332-7500
Fax: (541) 322-7565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X R1353740719 California

Profile Details

NPI number 1265084263
LBN Legal business name Cannon, Christina L
Credentials RADT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2019
Last updated May 4th, 2022 - 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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