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NPI 1487650586 · live from the CMS NPI Registry

Christopher E Cannon, MD

Internal Medicine, Interventional Cardiology in Medford, OR. National Provider Identifier 1487650586, active.

NPI record

NPI1487650586 Type 1 · individual
StatusActive
Primary specialtyInternal Medicine, Interventional Cardiology 207RI0011X
Practice location1698 E. Mcandrews Rd,, Suite 300, Medford, OR 97504
Practice phone541-732-7850
Mailing addressPo Box 3158, Portland, OR 97208
EnumeratedJune 23, 2005
Last updatedJanuary 20, 2015
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine, Interventional Cardiology primary207RI0011XMD155248 (OR)
Internal Medicine, Cardiovascular Disease207RC0000XMD155248 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.