Candice Phillips, is a
Licensed Practical Nurse based in Roseburg, Oregon. Candice Phillips is licensed to practice in Oregon (license number 10008606) and her current practice location is
621 W Madrone St, Roseburg, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 492-4550.
NPI number for Candice Phillips is 1720770548 and her current mailing address is Po Box 1121, Roseburg, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720770548.
Healthcare Provider's Profile
Full Name | Candice Phillips |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 621 W Madrone St, Roseburg, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720770548
- Provider Enumeration Date: 05/22/2023
- Last Update Date: 05/22/2023
Medical Identifiers
Medical identifiers for Candice Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720770548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 10008606 (Oregon) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
164W00000X | Licensed Practical Nurse | 10008606 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Candice Phillips is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Candice Phillips, Po Box 1121, Roseburg, OR 97470-0254 Ph: (541) 492-4550 | Candice Phillips, 621 W Madrone St, Roseburg, OR 97470-3090 Ph: (541) 492-4550 |
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