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Contact Information

CANDACE L BANKS
25195 SW PARKWAY AVE STE 210
WILSONVILLE, OR97070-9689
 Phone: 800-640-3451
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CANDACE L BANKS · (Female)

NPI Number 1790309573
Status Active
Credentials
Entity Individual
Enumeration date 06/08/2020
Last updated 04/01/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OR License # 202010404NPPP
  • TX License # AP143914
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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