Dr BRANDY L CANNON is a female medical professional, specializing in Physician Assistant. She graduated in 2008.
PROVIDENCE HEALTH AND SERVICES OREGON
101 NW 12TH AVE
BATTLE GROUND
WA
986049141
Tel:
| Npi | 1427293323 |
| Pac Id | 4082865530 |
| Professional Enrollment Id | I20121112000068 |
| Last Name | CANNON |
| First Name | BRANDY |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Group Practice Pac Id | 0648183608 |
| Number Of Group Practice Members | 1139 |
| Line 1 Street Address | 101 NW 12TH AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | BATTLE GROUND |
| State | WA |
| Zip Code | 986049141 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 380061 |
| Hospital Affiliation Lbn 1 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 500050 |
| Hospital Affiliation Lbn 2 | PEACEHEALTH SOUTHWEST MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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