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Mrs. Candis Kay Sollars
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NPI Number Detailed Information
Provider Information:
| Name: | Mrs. Candis Kay Sollars |
| Gender: | F |
| Provider License Number If Given: | L3219 |
NPI Information:
| NPI: | 1922007434 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/18/2005 |
| Last Update Date: | 3/10/2011 |
Provider Business Mailing Address:
| Address: | 1 12TH ST SUITE #4 Astoria, OR 97103 |
| Phone Number: | 5033253623 |
| Fax Number: | 5033254986 |
Provider Business Practice Location Address:
| Address: | 1 12TH ST SUITE #4 Astoria, OR 97103 |
| Phone Number: | 5033253623 |
| Fax Number: | 5033254986 |
Provider Taxonomy:
| Primary: | 1041C0700X |
| Secondary (if any): | |
| State: | OR |
