Individual
KENNETH M CINNAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 NE 5TH ST, MCMINNVILLE, OR 97128-4603
(971) 718-3456
Mailing address
PO BOX 4322, SALEM, OR 97302-8322
(971) 718-4567
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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