Individual
ELINOR CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4922 N VANCOUVER AVE, PORTLAND, OR 97217-2826
(503) 493-9398
Mailing address
1415 SE 49TH AVE, PORTLAND, OR 97215-2530
(707) 972-4213
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28073
OR
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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