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Individual

CANDACE MARIE HATTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
272 NW MEDICAL LOOP STE B, ROSEBURG, OR 97471-5545
(541) 537-8007
Mailing address
2370 CORPORATE CIR STE 300, HENDERSON, NV 89074-7760
(702) 910-3950

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200550003NP
OR
363LF0000X
Family Nurse Practitioner
Primary
200550003NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168395
OR
01
R103163
MEDICARE PART B
Enumeration date
02/07/2006
Last updated
01/30/2023
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