| Candace Louise Banks, | |
|
25195 Sw Parkway Ave Ste 210, Wilsonville, OR 97070-9689 | |
| (800) 640-3451 | |
| Not Available |
| Full Name | Candace Louise Banks |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 25195 Sw Parkway Ave Ste 210, Wilsonville, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790309573 | NPI | - | NPPES |
| Entity Name | Plaid Eagle Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588417117 PECOS PAC ID: 6103268560 Enrollment ID: O20240906003510 |
| Mailing Address | Practice Location Address |
|---|---|
| Candace Louise Banks, Po Box 1200, Pleasant Grove, UT 84062-1200 Ph: (800) 640-3451 | Candace Louise Banks, 25195 Sw Parkway Ave Ste 210, Wilsonville, OR 97070-9689 Ph: (800) 640-3451 |
Mrs. Heather Jean Sanudo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24499 Sw Grahams Ferry Rd, Wilsonville, OR 97070 Phone: 503-570-6732 | |
Brenna Laine Miller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30900 Sw Parkway Ave, Wilsonville, OR 97070 Phone: 619-992-2543 | |
Mrs. Angela Myriah Rose, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28900 Sw Villebois Dr., Suite D, Wilsonville, OR 97070 Phone: 503-482-5570 | |
Carla Rayne Anderson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30250 Sw Parkway Ave, Suite 7, Wilsonville, OR 97070 Phone: 503-570-3366 Fax: 503-570-3367 | |
Mrs. Alysa Patricia Hilton, RN, MS, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25749 Sw Canyon Creek Rd, Suite 600, Wilsonville, OR 97070 Phone: 503-486-1022 Fax: 503-682-7596 | |
Penny Denise Leininger, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25600 Sw Argyle Ave, Wilsonville, OR 97070 Phone: 415-360-3348 | |
Kimberley Anne Garrison, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 32100 Sw French Prairie Dr, Wilsonville, OR 97070 Phone: 503-694-2800 Fax: 503-694-5124 |