Individual
CANDICE MELINE BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP-R
Contact information
Practice address
821 SAGINAW ST S # 35, SALEM, OR 97302-4121
(503) 362-1999
Mailing address
821 SAGINAW ST S, SALEM, OR 97302-4121
(503) 362-1999
(503) 362-9671
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
12/07/2023
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