ANDREW CHARLES CANNON

CORVALLIS, OR
NPI1124211370
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2007-08-21
Last Update Date2007-08-21
Business Address
-- ANDREW CHARLES CANNON
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5944
Mailing Address
-- ANDREW CHARLES CANNON
1024 4TH AVE SE
ALBANY, OR 97321-3107
Phone number: 541-905-0933