Healthcare Provider Details

I. General information

NPI: 1194065995
Provider Name (Legal Business Name): CANDICE BAILEY DVM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MAGRUDER HALL
CORVALLIS OR
97331
US

IV. Provider business mailing address

555 NW LINDEN AVE
CORVALLIS OR
97330-1507
US

V. Phone/Fax

Practice location:
  • Phone: 541-737-4812
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: