Individual
CHRISTOPHER E CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1698 E. MCANDREWS RD,, SUITE 300, MEDFORD, OR 97504-5590
(541) 732-7850
(541) 732-7851
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-7850
(541) 732-7851
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD155248
OR
207RI0011X
Interventional Cardiology Physician
Primary
MD155248
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500635923
—
OR
Enumeration date
06/23/2005
Last updated
01/20/2015
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