Provider Demographics
NPI:1508379280
Name:BARBER, CANDACE LYNN (CBE, DOULA)
Entity Type:Individual
Prefix:MS
First Name:CANDACE
Middle Name:LYNN
Last Name:BARBER
Suffix:
Gender:F
Credentials:CBE, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15530 SE 184TH ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-9679
Mailing Address - Country:US
Mailing Address - Phone:206-818-4783
Mailing Address - Fax:
Practice Address - Street 1:15530 SE 184TH ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98058-9679
Practice Address - Country:US
Practice Address - Phone:206-818-4783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula