Active NPI
The Kanon Center LLC
- Clinical Social Worker
- Medford, OR
National Provider Identifier
1497686687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THE KANON CENTER LLC
- Practice address
- 204 W 9TH St
Medford, OR 97501-3135 - Phone
- (888) 556-7282
- Fax
- (458) 203-5051
- NPI assigned
- May 26, 2026
- Last updated
- May 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra V Davis, LCSW
- Title
- Owner
- Phone
- (561) 596-4455
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
204 W 9TH St
Medford, OR 97501-3135
Mailing address
PO Box 1787
Medford, OR 97501-0261
Phone (888) 556-7282
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Medford, OR
- NPI 1013787704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779753600000",
"number": "1497686687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1787",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975010261",
"telephone_number": "888-556-7282",
"fax_number": "458-203-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 W 9TH ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975013135",
"telephone_number": "888-556-7282",
"fax_number": "458-203-5051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE KANON CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-26",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-596-4455",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
- Kim Huynh Thai, MD
- Riza Thaiba, DDS
- Craig S. Thalacker, M.D.
- The Doula Cooperative
- The European Touch Spa
- The Salvation Army (The Salvation Army Medford Citadel Corps)
- The Scooter Store - Portland, LLC (Alliance Seating & Mobility)
- The Speech Center,Inc.
- The Visage of Beauty LLC
- James William Theen, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.