DEBRA JEAN KANNAN
NPI 1942770045
Counselor - Mental Health in Portland, OR

The NPI number for Debra Kannan is 1942770045. It was assigned to this individual provider in the NPPES registry on November 30, 2018.

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

The NPPES record for Debra Kannan was last updated on November 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 30, 2018

4035 NE SANDY BLVD STE 200, PORTLAND, OR 97212(971) 940-2601 Get Directions Write a Review

NPPES record last updated: November 30, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Debra Jean Kannan NPPES

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

DEBRA JEAN KANNAN (NPI 1942770045) is an individual mental health provider in Portland, Oregon and active in the NPI registry since November 2018.

NPI1942770045

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameDEBRA JEAN KANNAN

Location Address4035 NE SANDY BLVD STE 200Portland, OR 97212-5331

Mailing Address8827 Se Alder StPortland, OR 97216-1607 · (503) 490-6418

Sole ProprietorYes

Enumeration DateNovember 30, 2018

✔ NPI 1942770045 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

4035 NE SANDY BLVD STE 200, Portland, OR 97212

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

Counselor (Mental Health)