Healthcare Provider Details

I. General information

NPI: 1629783725
Provider Name (Legal Business Name): CANDACE TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1181 SW RAMSEY AVE
GRANTS PASS OR
97527-5821
US

IV. Provider business mailing address

1215 SW G ST
GRANTS PASS OR
97526-2544
US

V. Phone/Fax

Practice location:
  • Phone: 541-476-2373
  • Fax: 541-479-3514
Mailing address:
  • Phone: 541-476-2373
  • Fax: 541-479-3514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC8697
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: