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CHARLES KELLY CANNON LAC, MACOM
NPI 1043557309
Acupuncturist in Mosier, OR

Active since January 07, 2013
302 E 2ND AVE, MOSIER, OR 97040(541) 386-8767 Get Directions Write a Review

NPPES record last updated: January 7, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Charles Kelly Cannon Lac, Macom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES KELLY CANNON LAC, MACOM (NPI 1043557309) is an individual acupuncturist in Mosier, Oregon, licensed in Oregon (AC159892) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1043557309
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameCHARLES KELLY CANNONCredential: LAC, MACOM
Location Address302 E 2ND AVEMosier, OR 97040-1500
Mailing AddressPo Box 312Mosier, OR 97040-0312 · (541) 386-8767
Phone(541) 386-8767
Sole ProprietorNo
Enumeration DateJanuary 7, 2013
✔ NPI 1043557309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in OR · AC159892
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
302 E 2ND AVE, Mosier, OR 97040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLUMBIA RIVER ACUPUNCTURE LLC
Clinic/Center
302 E 2ND AVE
MOSIER, OR 97040
Wasco County (541) 386-8767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Cannon's NPI number?

The NPI number for Charles Cannon is 1043557309. It was assigned to this individual provider in the NPPES registry on January 7, 2013.

Where is Charles Cannon located?

Charles Cannon practices at 302 E 2nd Ave, Mosier, OR 97040. The listed phone number is (541) 386-8767.

What is Charles Cannon's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

What insurance does Charles Cannon accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Charles Cannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Cannon was last updated on January 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.