Colleknon, Candace Lynne

Colleknon, Candace Lynne is an sole proprietor health care provider with primary practice located at 17712 Sw 81St Pl , Portland OR 97224-7671. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Colleknon, Candace Lynne can be contacted via phone (503) 702-2388.

Contact Information

Primary practice address
17712 Sw 81St Pl Portland OR 97224-7671
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1760165351
LBN Legal business name Colleknon, Candace Lynne
Credentials MSCN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2023
Last updated Aug 9th, 2023 - about 2 years 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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