Provider Demographics
NPI:1558609123
Name:MURRAY, CANDACE JANE (MS)
Entity Type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:JANE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 NW 76TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-7244
Mailing Address - Country:US
Mailing Address - Phone:360-694-3577
Mailing Address - Fax:
Practice Address - Street 1:1001 NW 76TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-7244
Practice Address - Country:US
Practice Address - Phone:360-694-3577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist