Individual
ANDREW CHARLES CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 758-5944
Mailing address
1024 4TH AVE SE, ALBANY, OR 97321-3107
(541) 905-0933
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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