Active NPIIndividual providerSole proprietor

Mrs. Lara C Cannon, MA, LPC

Counselor, Professional in Tigard, Oregon

NPI Number1952850505
Practice location
9370 SW Greenburg RD Ste 413, Tigard, OR 97223-5427
Fax
—
Last updated
June 11, 2019

Lara Christine Cannon is a Counselor, Professional based in Tigard, OR. Lara Christine Cannon practices in Tigard, OR and has the professional credentials of MA, LPC. The NPI Number for Lara Christine Cannon is 1952850505 and holds a License No. C5220 (OR). The current practice location address for Lara Christine Cannon is 9370 SW Greenburg RD Ste 413, Tigard, OR 97223-5427 and can be reached out via phone at 971-302-7374.

Provider Profile Details

NPI Number
1952850505
Provider Name
Lara Christine Cannon
Credential
MA, LPC
Provider Entity Type
Individual
Gender
Female
Address
9370 SW Greenburg RD Ste 413, Tigard, OR 97223-5427
Phone Number
971-302-7374
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
September 23, 2016
Last Update Date
June 11, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
9370 SW Greenburg RD Ste 413
Tigard, OR 97223-5427
City
Tigard
State
Oregon
Zip
97223-5427
Phone Number
971-302-7374
Tigard, OR 97223Get directions →

Provider Business Mailing Address Details

Address
3920 SW Shattuck RD
Portland, OR 97221-3075
City
Portland
State
OR
Zip
97221-3075
Phone Number
503-477-7895

License Information

License Number
C5220
License State
OR
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Lara C Cannon, MA, LPC?

The NPI number of Mrs. Lara C Cannon, MA, LPC is 1952850505. It was assigned on September 23, 2016 and is currently active in the NPPES registry.

What is the specialty of Mrs. Lara C Cannon, MA, LPC?

Mrs. Lara C Cannon, MA, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in OR under license number C5220.

Where does Mrs. Lara C Cannon, MA, LPC practice?

The practice location is 9370 SW Greenburg RD Ste 413, Tigard, OR 97223-5427. The office can be reached at 971-302-7374 (phone).

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 1952850505 directly on the NPPES registry website.

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