IndividualActive
Candice Shidler, QMHA
NPI 1295218063 · Community/Behavioral Health Agency · Klamath Falls, OR
Provider details
- NPI number
- 1295218063
- Entity type
- Individual
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Credential
- QMHA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
2210 N Eldorado Ave
Klamath Falls, OR 97601-6418
Phone: (541) 883-1030
Approximate (ZIP-level) locationGet directions
Mailing address
2210 N Eldorado Ave
Klamath Falls, OR 97601-6418
Registry dates
- Enumerated
- 2018-09-07
- Last updated
- 2018-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.