Individual
MR. JOHN BENTON MCCANDLESS V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3710 SW VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
5600 NE 18TH AVE, PORTLAND, OR 97211-5545
(503) 493-1528
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200841039RN
OR
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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