Individual
TARA CANDELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(503) 239-8406
Mailing address
1975 NW 167TH PL STE 100-20, BEAVERTON, OR 97006-4908
(503) 874-6463
(503) 831-8947
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
201609336RN
OR
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN61084371
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202101319NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61144096
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/13/2020
Last updated
07/23/2025
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