CHRISTINA L CANNON RADT NPI 1265084263

NPI Information

NPI: 1265084263
Provider Name: CHRISTINA L CANNON, RADT
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
63311 JAMISON ST
BEND, OR
ZIP 97703
Phone: (541) 332-7500
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Christina L Cannon, RADT is a peer specialist in Bend, OR. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Christina L Cannon, RADT NPI is 1265084263. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

63311 JAMISON ST
BEND, OR
ZIP 97703-288
Phone: (541) 332-7500
Fax: (541) 322-7565

The enumeration date for this NPI number is 7/10/2019 and was last updated on 5/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist				Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	R1353740719	CALIFORNIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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