Christina L Cannon, RADT
Peer Specialist in Bend, Oregon
1265084263- Practice location
- 63311 Jamison St, Bend, OR 97703-8288
- Phone
- 541-332-7500
- Fax
- 541-322-7565
- Last updated
- May 4, 2022
Christina L Cannon, RADT is a Peer Specialist based in Bend, OR. Christina L Cannon, RADT holds the professional credentials of RADT. The NPI number for Christina L Cannon, RADT is 1265084263 and holds license No. R1353740719 (CA). The current practice location address is 63311 Jamison St, Bend, OR 97703-8288 and the office can be reached by phone at 541-332-7500 and by fax at 541-322-7565. The NPI was assigned on July 10, 2019 and the record was last updated in NPPES on May 4, 2022.
●Provider Profile Details
- NPI Number
- 1265084263
- Provider Name
- Christina L Cannon
- Credential
- RADT
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Peer Specialist · 175T00000X
- Sole Proprietor
- No
- Enumeration Date
- July 10, 2019
- Last Update Date
- May 4, 2022
- Certification Date
- May 4, 2022
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 63311 Jamison St
Bend, OR 97703-8288 - City
- Bend
- State
- Oregon
- ZIP
- 97703-8288
- Country
- US
- Phone Number
- 541-332-7500
- Fax Number
- 541-322-7565
✉Business Mailing Address
- Address
- 2577 NE Courtney Dr
Bend, OR 97701-7752 - City
- Bend
- State
- OR
- ZIP
- 97701-7752
- Phone Number
- 541-332-7500
- Fax Number
- 541-322-7565
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | No | R1353740719 | CA |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Bend →?Frequently Asked Questions
What is the NPI number of Christina L Cannon, RADT?
The NPI number of Christina L Cannon, RADT is 1265084263. It was assigned on July 10, 2019 and is currently active in the NPPES registry.
What is the specialty of Christina L Cannon, RADT?
Christina L Cannon, RADT is registered under the primary taxonomy Peer Specialist (code 175T00000X) and holds license No. R1353740719 (CA).
Where does Christina L Cannon, RADT practice?
The practice location is 63311 Jamison St, Bend, OR 97703-8288. The office can be reached at 541-332-7500 (phone) or 541-322-7565 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265084263 directly on the NPPES registry website at npiregistry.cms.hhs.gov.