MRS. LARA CHRISTINE CANNON (NPI# 1952850505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952850505 |
| Entity Type | Individual |
| Full Name | MRS. LARA CHRISTINE CANNON |
| Credential | MA, LPC |
| Practice Address |
9370 Sw Greenburg Rd Ste 413 Tigard OR 97223-5427 |
| Mailing Address |
3920 Sw Shattuck Rd Portland OR 97221-3075 |
| Practice Telephone | 9713027374 |
| Mailing Telephone | 5034777895 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C5220 | OR | Behavioral Health & Social Service Providers |
| Street Address |
9370 SW GREENBURG RD STE 413 |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-5427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902464654 | Adhd Child & Family Services, LLC | Marriage & Family Therapist | 9370 Sw Greenburg Rd Ste 413, Tigard, OR 97223-5427 | 2019-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205377850 | Melinda Arnold | Counselor | 7340 Sw Hunziker Rd Ste 102, Tigard, OR 97223-2303 | 2017-03-15 |
| 1972976108 | Rebekah Stines | Counselor | 7455 Sw Beveland St., Tigard, OR 97223 | 2015-11-10 |
| 1548644941 | Steve A Shelley | Counselor | 10763 Sw Greenburg Rd # 100, Tigard, OR 97223-5492 | 2015-07-15 |
| 1700283397 | Shelby Bassett Milam | Counselor | 7175 Sw Beveland Rd Ste 200, Tigard, OR 97223-8665 | 2014-11-25 |
| 1891115531 | Nicole Cara Green | Counselor | 9950 Sw Landau Pl, Tigard, OR 97223-1013 | 2014-04-21 |
| 1093145930 | Rosanna Gapen | Counselor | 6825 Sw Sandburg St, Tigard, OR 97223-8192 | 2013-11-13 |
| 1578906210 | Kathy Ann Hardie-williams | Counselor | 9600 Sw Oak St Ste 325, Tigard, OR 97223-6588 | 2013-04-11 |
| 1568722593 | Anna A Berardi | Counselor | 15930 Sw Stratford Loop, Tigard, OR 97224-5556 | 2012-05-24 |
| 1841576550 | Enid E Nielsen | Counselor | 11501 Sw Pacific Hwy, Suite 100-5, Tigard, OR 97223-8649 | 2011-10-26 |
| 1487807756 | Sue Berger | Counselor | 8255 Sw Hunziker St Ste 100, Tigard, OR 97223-2318 | 2008-10-29 |
| Find all providers in TIGARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.