Individual
CANDACE NYSTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2780 E BARNETT RD STE 200, MEDFORD, OR 97504-8674
(541) 779-6250
(541) 608-2470
Mailing address
2780 E BARNETT RD STE 200, MEDFORD, OR 97504-8674
(541) 779-6250
(541) 608-2470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9280
AZ
363A00000X
Physician Assistant
Primary
9280
OR
Other
Enumeration date
01/15/2019
Last updated
03/17/2026
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