Search › Oregon › 1041C0700X
Candace Wallis
NPI 1215691597 · on the registry since 2021
Practice
- Address
- 125 Central Ave Ste 290
Coos Bay, OR 97420 - Phone
- (541) 267-2113
- Organisation at this address
- Coastal Center, Llc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon