Provider Demographics
NPI:1972889947
Name:SCHWARTZ, CANDIDA (ND)
Entity Type:Individual
Prefix:DR
First Name:CANDIDA
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3947 NE CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97212-1006
Mailing Address - Country:US
Mailing Address - Phone:503-502-5738
Mailing Address - Fax:
Practice Address - Street 1:2100 NE BROADWAY SUITE 225
Practice Address - Street 2:SUITE 200
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232
Practice Address - Country:US
Practice Address - Phone:503-502-5738
Practice Address - Fax:503-287-3433
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1828175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath