MEDICARE: CANDICE H KAM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	218256	NC
2	2084V0102X	Vascular Neurology Physician	MD197389	OR
3	2084N0400X	Neurology Physician	MD197389	OR

General Provider Information

NPI Number	:	1205283462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDICE H KAM MD

Provider Business Mailing Address
First Line	:	3181 SW SAM JACKSON PARK RD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97239-3011
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19260 SW 65TH AVE STE 280
Second Line	:
City	:	TUALATIN
State	:	OR
Zip	:	97062-5708
Country	:	US
Telephone Number	:	503-413-6166
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2016
Last Update Date	:	12/16/2025

Similar Medicare Providers

1568467892 — THOMAS A PHIPPS MD
Practice Location Address:

19260 SW 65TH AVE , STE 280
TUALATIN, OR
97062-5708

Practice Phone: 503-692-2850
Practice Fax: 503-692-4465

1124064852 — MAGDALENNE MARIE CORSO MD
Practice Location Address:

19260 SW 65TH AVE , STE 275
TUALATIN, OR
97062-5708

Practice Phone: 503-691-2519
Practice Fax: 503-659-8984

1477845584 — DR. YARA D NAZZAL MD
Practice Location Address:

19260 SW 65TH AVE STE 280
TUALATIN, OR
97062-5708

Practice Phone: 503-413-6166
Practice Fax:

1821952771 — JESSE HUDSON LMT
Practice Location Address:

19355 SW MOHAVE CT
TUALATIN, OR
97062-8631

Practice Phone: 503-486-5199
Practice Fax: 503-486-5190

1417811241 — NATE ETHERLY
Practice Location Address:

10731 SW COTTONWOOD ST
TUALATIN, OR
97062-8171

Practice Phone: 503-877-8552
Practice Fax:

1790760387 — DR. ANDREW BENJAMIN CRAMER M.D.
Practice Location Address:

19250 SW 65TH AVE STE 235
TUALATIN, OR
97062-7745

Practice Phone: 503-692-5650
Practice Fax: 503-692-7903

Directions to “ CANDICE H KAM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.