Organization
KANNACT HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNA RAO (CEO)
(971) 361-6091
Entity
Organization
Contact information
Practice address
2121 NE JACK LONDON ST STE 200, CORVALLIS, OR 97330-6947
(855) 722-5513
(541) 230-1189
Mailing address
2211 NW PROFESSIONAL DR, CORVALLIS, OR 97330-3891
(855) 722-5513
(541) 230-1189
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
174H00000X
Health Educator
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
04/06/2016
Last updated
05/09/2023
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