Individual
MARIANNE KANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3811-B SW HALL BLVD, BEAVERTON, OR 97005-2041
(503) 277-3721
(503) 597-5008
Mailing address
PO BOX 1147, HILLSBORO, OR 97123-1147
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000800
—
OR
Enumeration date
08/20/2006
Last updated
08/29/2007
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