Individual provider · Type 1 NPI

Evelyn Cannon

Mental Health Counselor · Portland, OR

NPI number 1346793783 Active

Practice location

8041 E Burnside St
Portland, OR 97215-1548

Call (503) 252-3304 Map

Fax (503) 254-6396

Mailing address

1027 E Burnside St
Portland, OR 97214-1328

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1346793783

Evelyn Cannon's National Provider Identifier is 1346793783, issued on Aug 2, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 2, 2016.