Carolyn Cannon OT/L

NPI 1598998700 - Occupational Therapist - 225X00000X

NPI Details
NPI 1598998700
Gender Female
Enumeration Date 09/03/2009
Last Updated 05/08/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
6635 N BALTIMORE AVE
SUITE 228
PORTLAND OR, 97203-5454, US
Phone (503) 477-9527
Fax (503) 477-9529
Business Location
6635 N BALTIMORE AVE
SUITE 228
PORTLAND OR, 97203-5454, US
Phone (503) 477-9527
Fax (503) 477-9529
Toxanomy
Taxonomy Code 225X00000X
License State Oregon
License Number 985071
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According to our database, Carolyn Cannon OT/L NPI is 1598998700, taxonomy code is 225X00000X and license number is 985071, license state is located at Oregon. Carolyn Cannon OT/L physically located at 6635 N Baltimore Ave, Portland OR, 97203-5454. NPI Number Carolyn Cannon OT/L has the Individual type.

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1598998700 NPI number is provided on an as is basis without warranty of any kind. 1598998700 is maintained by the National Plan & Provider Enumeration System. The contents of Carolyn Cannon OT/L are for informational purposes only.