Candela, Tara

Candela, Tara is an sole proprietor health care provider with primary practice located at 10714 Ne Glisan St , Portland OR 97220-4046. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Candela, Tara can be contacted via phone (503) 645-3581.

Contact Information

Primary practice address
10714 Ne Glisan St Portland OR 97220-4046
Phone: (503) 645-3581
Fax: (971) 288-1331
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 201609336RN Oregon
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN61084371 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP61144096 Washington
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 202101319NP-PP Oregon

Profile Details

NPI number 1861025256
LBN Legal business name Candela, Tara
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2020
Last updated Jul 17th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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