Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Breanne Cannon, PA-C

Individual provider Surgical Physician Assistant · NPI 1003050071

Breanne Cannon, PA-C is a Physician Assistant in Vancouver, Washington. Qualified in 2010, 16 years ago. Practices with Modern Nose Clinic LLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
16
Licensed in
WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

200 NE Mother Joseph Pl Ste 300
Vancouver, WA 98664
Phone: (360) 254-6161
Fax: (360) 449-1146
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 60234603 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA 60234603 (WA)

Record details

NPI number1003050071
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 22, 2009
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Modern Nose Clinic Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Vancouver