Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CANDICE PHYLLIS LOVE SHIDLER, QMHA
Active Sole ProprietorCANDICE PHYLLIS LOVE SHIDLER, QMHA is a Community/Behavioral Health healthcare provider located in KLAMATH FALLS, Oregon. NPI 1295218063 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · KLAMATH FALLS, OR
Registration Details
- NPI Number
- 1295218063
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 7, 2018 (7.9598789132572 yrs)
- Last Updated
- Sep 7, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
2210 N ELDORADO AVEKLAMATH FALLS, OR, 976016418Browse OR providers · Browse ZIP 97601
- Phone
- 5418831030
- Primary Specialty
-
Community/Behavioral Health
251S00000X
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.