| Candace Nicole Wallis, | |
|
125 Central Ave Ste 290, Coos Bay, OR 97420-2342 | |
| (541) 267-2113 | |
| Not Available |
| Full Name | Candace Nicole Wallis |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 6 Years |
| Location | 125 Central Ave Ste 290, Coos Bay, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215691597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 15085 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Center, Llc. | 8426046707 | 5 |
| Mailing Address | Practice Location Address |
|---|---|
| Candace Nicole Wallis, 1600 Woodland Dr, Coos Bay, OR 97420-2044 Ph: (727) 692-7373 | Candace Nicole Wallis, 125 Central Ave Ste 290, Coos Bay, OR 97420-2342 Ph: (541) 267-2113 |
Ms. Toni Wyatt-kirkeby, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1620 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-2986 Fax: 541-266-8640 | |
Mr. Jeffrey G. Friedman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1610 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-2986 Fax: 541-269-7987 | |
Kellilynn Bosak, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 150 S Wall St, Coos Bay, OR 97420 Phone: 541-435-7200 | |
Laurie C Reis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 281 Laclair St, Coos Bay, OR 97420 Phone: 541-266-6769 | |
Ms. Denise E. Stuntzner, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 | |
Carol J. Embury, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1610 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-2986 Fax: 541-269-7987 |