Phillips, Candice

Phillips, Candice is an individual health care provider with primary practice located at 621 W Madrone St , Roseburg OR 97470-3090. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Phillips, Candice can be contacted via phone (541) 492-4550.

Contact Information

Primary practice address
621 W Madrone St Roseburg OR 97470-3090
Phone: (541) 492-4550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 10008606 Oregon
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X
Nursing Service Providers / Licensed Practical Nurse 164W00000X 10008606 Oregon

Profile Details

NPI number 1720770548
LBN Legal business name Phillips, Candice
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2023
Last updated May 22nd, 2023 - about 3 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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