CANDICE PHILLIPS
NPI 1720770548
Licensed Practical Nurse in Roseburg, OR

Active since May 22, 2023
621 W MADRONE ST, ROSEBURG, OR 97470(541) 492-4550 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Candice Phillips NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDICE PHILLIPS (NPI 1720770548) is an individual licensed practical nurse in Roseburg, Oregon, licensed in Oregon (10008606) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1720770548
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCANDICE PHILLIPS
Location Address621 W MADRONE STRoseburg, OR 97470-3090
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 492-4550
Sole ProprietorNo
Enumeration DateMay 22, 2023
NPPES CertifiedMay 22, 2023
NPI 1720770548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in OR · 10008606
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 10008606 (OR)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
621 W MADRONE ST, Roseburg, OR 97470

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
621 W MADRONE ST, SUITE 223
ROSEBURG, OR 97470
Social Worker (Clinical)
621 W MADRONE ST
ROSEBURG, OR 97470
Social Worker (Clinical)
621 W MADRONE ST
ROSEBURG, OR 97470
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Public Health or Welfare
621 W MADRONE ST
ROSEBURG, OR 97470
Community/Behavioral Health
621 W MADRONE ST
ROSEBURG, OR 97470
Public Health or Welfare
621 W MADRONE ST
ROSEBURG, OR 97470
Public Health or Welfare
621 W MADRONE ST
ROSEBURG, OR 97470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candice Phillips's NPI number?

The NPI number for Candice Phillips is 1720770548. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Candice Phillips located?

Candice Phillips practices at 621 W Madrone St, Roseburg, OR 97470. The listed phone number is (541) 492-4550.

What is Candice Phillips's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Candice Phillips was last updated on May 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.