NPI 1003050071

Breanne Cannon, PAC

Practitioner Physician Assistant Vancouver, WA

Practice location

Address: 200 NE Mother Joseph Pl STE 300, Vancouver, WA 98664
Phone: (360) 254-6161
Fax: (360) 449-1146
Mailing address: 200 NE Mother Joseph Pl STE 210, Vancouver, WA 98664-3295

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA 60234603 (WA)

Other Physician Assistant providers in Washington →

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA 60234603 (WA)

Registry record

NPI: 1003050071
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Apr 2009
Record last updated: 13 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.