Charles Kelly Cannon, LAC, MACOM - Acupuncturist in Mosier, OR

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Charles Kelly Cannon, LAC, MACOM is a Acupuncturist based in Mosier, Oregon. Charles Kelly Cannon is licensed to practice in Oregon (license number AC159892) and his current practice location is 302 E 2nd Ave, Mosier, Oregon. He can be reached at his office (for appointments etc.) via phone at (541) 386-8767.

NPI number for Charles Kelly Cannon is 1043557309 and his current mailing address is Po Box 312, Mosier, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043557309.

Contact Information

Charles Kelly Cannon, LAC, MACOM
302 E 2nd Ave,
Mosier, OR 97040-1500
(541) 386-8767
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCharles Kelly Cannon
GenderMale
SpecialityAcupuncturist
Location302 E 2nd Ave, Mosier, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043557309
  • Provider Enumeration Date: 01/07/2013
  • Last Update Date: 01/07/2013

Medical Identifiers

Medical identifiers for Charles Kelly Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043557309NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
171100000XAcupuncturist AC159892 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Kelly Cannon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Kelly Cannon, LAC, MACOM
Po Box 312,
Mosier, OR 97040-0312

Ph: (541) 386-8767		Charles Kelly Cannon, LAC, MACOM
302 E 2nd Ave,
Mosier, OR 97040-1500

Ph: (541) 386-8767

Reviews and Comments


Acupuncturist in Mosier, OR


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