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Individual

CANDACE NICOLE MEINEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O

Contact information

Practice address
9427 SW BARNES RD STE 296, PORTLAND, OR 97225
(503) 297-3778
(503) 297-7853
Mailing address
847 NE 19TH AVE STE 300, PORTLAND, OR 97232-2686
(503) 963-2801
(503) 963-2825

Taxonomy

Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
61950
MN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
DO186910
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2098774
WA
05
500742458
OR
Enumeration date
05/21/2014
Last updated
11/19/2021
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