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Individual

DR. TERRELL RAY CANNON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
530 NW 3RD ST, SUITEA, NEWPORT, OR 97365-3646
(541) 265-8680
(541) 265-9595
Mailing address
6047 SCONCE RD, HUBBARD, OR 97032-9447
(503) 651-2050

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
271605
OR

Other

Enumeration date
05/09/2006
Last updated
07/08/2007
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