Individual
CANDICE ANN HOPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16326 BUTTEVILLE RD NE, WOODBURN, OR 97071-8408
(503) 951-3755
Mailing address
16326 BUTTEVILLE RD NE, WOODBURN, OR 97071-8408
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
OR
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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