SearchOregon101YM0800X

Kannon Elizabeth, LCSW, LICSW

NPI 1326463712 · on the registry since 2014 · sole proprietor

Practice

Address
6500 S Macadam Ave Ste 375
Portland, OR 97239
Phone
(541) 357-9433
Organisation at this address
Seasons Hospice & Palliative Care Of Oregon, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Additional practice sites

  • 436 Se 12th Ave, Portland, OR

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YM0800X
101YP2500X
Licence states on file
WA, OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon