# DAVID D. CANDELARIA, MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MADRONE FAMILY MEDICINE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720038904
- **Authorized official:** DAVID D. CANDELARIA (PRESIDENT)
- **Authorized official phone:** (541) 479-0177

## Contact information

- **Practice address:** 201 NE SAVAGE ST, GRANTS PASS, OR 97526-1309
- **Practice address phone:** (541) 497-0177
- **Mailing address:** 1208 BEALL LN, CENTRAL POINT, OR 97502-1573
- **Mailing address phone:** (541) 664-5151
- **Mailing address fax:** (541) 664-5155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 08/22/2020