CHRISTINA L CANNON RADT
NPI 1265084263
Peer Specialist in Bend, OR

Active since July 10, 2019
63311 JAMISON ST, BEND, OR 97703(541) 332-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2022, Jul 10, 2019 (2 updates tracked since 2019).

About Christina L Cannon Radt NPPES

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

CHRISTINA L CANNON RADT (NPI 1265084263) is an individual peer specialist in Bend, Oregon and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1265084263
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameCHRISTINA L CANNONCredential: RADT
Location Address63311 JAMISON STBend, OR 97703-8288
Mailing Address2577 Ne Courtney DrBend, OR 97701-7752 · (541) 332-7500 · Fax (541) 322-7565
Fax(541) 322-7565
Sole ProprietorNo
Enumeration DateJuly 10, 2019
Last NPPES UpdateMay 4, 20222 updates tracked since enumeration
NPPES CertifiedMay 4, 2022
NPI 1265084263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License R1353740719 (CA)
63311 JAMISON ST, Bend, OR 97703

Other Providers at the Same Location NPPES 20

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

Case Manager/Care Coordinator
63311 JAMISON ST
BEND, OR 97703
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Peer Specialist
63311 JAMISON ST
BEND, OR 97703
Peer Specialist
63311 JAMISON ST
BEND, OR 97703
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703

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 Christina Cannon's NPI number?

The NPI number for Christina Cannon is 1265084263. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Where is Christina Cannon located?

Christina Cannon practices at 63311 Jamison St, Bend, OR 97703. The listed phone number is (541) 332-7500.

What is Christina Cannon's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Christina Cannon was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.