Provider Demographics
NPI:1326084344
Name:ROHR, CANDICE M (MD)
Entity Type:Individual
Prefix:DR
First Name:CANDICE
Middle Name:M
Last Name:ROHR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 S GARDEN WAY
Mailing Address - Street 2:STE 150
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-8176
Mailing Address - Country:US
Mailing Address - Phone:541-485-0316
Mailing Address - Fax:541-431-0317
Practice Address - Street 1:330 S GARDEN WAY
Practice Address - Street 2:STE 150
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-8176
Practice Address - Country:US
Practice Address - Phone:541-485-0316
Practice Address - Fax:541-431-0317
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD11376207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR239681Medicaid
C93643Medicare UPIN
OR00WFBBNAMedicare PIN