Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CANDICE KETELSEN, PA-C
ActiveCANDICE KETELSEN, PA-C is a Physician Assistant healthcare provider located in VANCOUVER, Washington. NPI 1073040515 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · VANCOUVER, WA
Registration Details
- NPI Number
- 1073040515
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 15, 2017 (9.235650881119 yrs)
- Last Updated
- Feb 12, 2026
- Licenses
-
PA60758102 (WA)PA-1496 (ID)
Practice Information
- Address
-
1000 SE TECH CENTER DR STE 120VANCOUVER, WA, 986835548Browse WA providers · Browse ZIP 98683
- Phone
- 3604874660
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in VANCOUVER, WA
| Name | Credential | NPI |
|---|---|---|
| ALAN K MIRLY | PA | 1891780524 |
| JAMES THOMAS STUPFEL | PA-C | 1437130143 |
| JOHN RUSSELL PRENTICE | PA-C | 1497736110 |
| LYNN EUGENE CATON | PA-C | 1477536225 |
| LAURA E BRANDT | PA-C | 1013997899 |
| ROBERT S BROOKSHIRE | PA-C | 1295708378 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.