# KANNACT HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134583149
- **Authorized official:** KRISHNA RAO (CEO)
- **Authorized official phone:** (971) 361-6091

## Contact information

- **Practice address:** 2121 NE JACK LONDON ST STE 200, CORVALLIS, OR 97330-6947
- **Practice address phone:** (855) 722-5513
- **Practice address fax:** (541) 230-1189
- **Mailing address:** 2211 NW PROFESSIONAL DR, CORVALLIS, OR 97330-3891
- **Mailing address phone:** (855) 722-5513
- **Mailing address fax:** (541) 230-1189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 04/06/2016
- **Last updated:** 05/09/2023