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:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23525 NE NOVELTY HILL RD STE 111
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-1995
Mailing Address - Country:US
Mailing Address - Phone:425-296-9555
Mailing Address - Fax:425-517-8020
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:2024-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PG205133390200000X
WAOP61554983207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program