Sara J Cannon is a Pediatrics in Tualatin, Oregon. Sara J Cannon practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Sara J Cannon is 1467441477. The last update date is 2007-07-08.
Sara J Cannon's current location address is 19260 Sw 65th Ave, Tualatin, Oregon. You can contact this provider via phone number 5036919777 and fax number 5036926736. The mailing address for Sara J Cannon is 19260 Sw 65th Ave, Tualatin, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sara J Cannon |
|---|---|
| Address | 19260 Sw 65th Ave, Tualatin, Oregon |
| Phone Number | 5036919777 |
| Fax Number | 5036926736 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1467441477 |
|---|---|
| Provider Enumeration Date | 2005-10-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 19260 Sw 65th Ave |
|---|---|
| City | Tualatin |
| State | Oregon (OR) |
| Post Code | 970625701 |
| Phone Number | 5036919777 |
| Fax Number | 5036926736 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD20383 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 158870 | OR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Sara J Cannon?
The Sara J Cannon has been issued the NPI (National Provider Identifier) 1467441477 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Sara J Cannon's physical address?
The Sara J Cannon is physically located at 19260 Sw 65Th Ave, in the city of Tualatin, OR, with the postal code 970625701.
What is the Sara J Cannon's specialty and taxonomy code?
The Sara J Cannon's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
When did Sara J Cannon receive its 1467441477 assignment?
The Sara J Cannon was assigned its 1467441477 on 2005-10-21, which is the date when this unique identifier was issued to the organization.
When was the information related to Sara J Cannon most recently updated or refreshed?
The details pertaining to the Sara J Cannon, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.