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Individual

MRS. KANDACE MICHELLE GOINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 408-5016
Mailing address
9830 NE CASCADES PKWY STE 200, PORTLAND, OR 97220-6834
(503) 262-0145

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201041302RN
OR

Other

Enumeration date
03/08/2012
Last updated
03/08/2012
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