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Contact Information

CHARLES K CANNON, LAC, MACOM
302 E 2ND AVE
MOSIER, OR97040-1500
 Phone: 541-386-8767
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for CHARLES K CANNON · (Male)

NPI Number 1043557309
Status Active
Credentials LAC, MACOM
Entity Individual
Enumeration date 01/07/2013
Last updated 01/07/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • OR License # AC159892
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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