Individual
CANDICE KETELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 SE TECH CENTER DR STE 120, VANCOUVER, WA 98683-5548
(360) 487-4660
Mailing address
1000 SE TECH CENTER DR, VANCOUVER, WA 98683-5547
(360) 487-4660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-1496
ID
363A00000X
Physician Assistant
Primary
PA60758102
WA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/15/2017
Last updated
02/12/2026
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