Candice Phillips

Licensed Practical Nurse · Roseburg, OR

Individual Active NPI

NPI number 1720770548

Practice location

621 W Madrone St
Roseburg, OR 97470-3090
Phone
(541) 492-4550

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NPI record

NPI
1720770548
Entity type
Individual (Type 1)
Enumeration date
May 22, 2023
Last updated
May 22, 2023
Certified
May 22, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 10008606 OR
Addiction (Substance Use Disorder) Counselor 101YA0400X 10008606 OR
Case Manager/Care Coordinator 171M00000X — —
Community Health Worker 172V00000X — —

Mailing address

PO Box 1121
Roseburg, OR 97470-0254
Phone
(541) 492-4550

About Candice Phillips

Candice Phillips is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 621 W Madrone St, Roseburg, OR 97470-3090. The NPI number 1720770548 was assigned on May 22, 2023 and the record was last updated on May 22, 2023.

Candice Phillips lists 2 licenses in the registry: #10008606 (OR) for Licensed Practical Nurse; #10008606 (OR) for Addiction (Substance Use Disorder) Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Candice Phillips?

The NPI number is 1720770548.

What is the phone number of Candice Phillips?

The phone number listed for the practice location is (541) 492-4550.

Where is Candice Phillips located?

621 W Madrone St, Roseburg, OR 97470-3090.

What is the taxonomy code for Candice Phillips?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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