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

Keli Mikal Cannon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508232356

Keli Mikal Cannon is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11035 NE Sandy Blvd
Portland, OR 97220-2553
Phone: (503) 258-4200
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

Mental Health Counselor (primary) Taxonomy 101YM0800X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508232356
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 17, 2015
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021

Other providers in Portland