Shonda R Cannon, LMT is a
Massage Therapist based in Phoenix, Oregon. Shonda R Cannon is licensed to practice in Oregon (license number 24313) and her current practice location is
101 Chelsea Ct, Phoenix, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 497-0136.
NPI number for Shonda R Cannon is 1386274157 and her current mailing address is 101 Chelsea Ct, Phoenix, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386274157.
Healthcare Provider's Profile
Full Name | Shonda R Cannon |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 101 Chelsea Ct, Phoenix, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386274157
- Provider Enumeration Date: 01/21/2020
- Last Update Date: 01/27/2021
Medical Identifiers
Medical identifiers for Shonda R Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386274157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 24313 (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. Shonda R 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 Address | Practice Location Address |
Shonda R Cannon, LMT 101 Chelsea Ct, Phoenix, OR 97535-5738 Ph: (541) 497-0136 | Shonda R Cannon, LMT 101 Chelsea Ct, Phoenix, OR 97535-5738 Ph: (541) 497-0136 |
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