Provider Demographics
NPI:1992387898
Name:CANDIA, PAOLA LINDA (DO)
Entity type:Individual
Prefix:
First Name:PAOLA
Middle Name:LINDA
Last Name:CANDIA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 25608
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84125-0608
Mailing Address - Country:US
Mailing Address - Phone:206-320-4476
Mailing Address - Fax:206-568-7043
Practice Address - Street 1:23525 NE NOVELTY HILL RD STE 111
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-1995
Practice Address - Country:US
Practice Address - Phone:425-296-9555
Practice Address - Fax:425-517-8020
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2025-06-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAOP61554983207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2311609Medicaid