Kenneth M Cinnamon

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

420 NE 5TH St
McMinnville, OR 97128-4603

Phone

(971) 718-3456

NPI assigned

Jan 15, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ken M Cinnamon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1821809229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4322",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973028322",
            "telephone_number": "971-718-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NE 5TH ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284603",
            "telephone_number": "971-718-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINNAMON",
        "first_name": "KENNETH",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEN",
            "last_name": "CINNAMON",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Child & Adolescent Resource Center, LLC
• Zachery Paul Christenson
• Christopher a. Blake, MD, PC
• Carolee Church
• Holly Churchill
• City of McMinnville
• Jessie Leigh Clark, APRNNP, FNPC, FNPBC
• Juliana Clark
• Nicholas L Clark, O.D.
• Susan Gaieen Clark, LCSW

• Peer Specialist in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.