Kandice Draayer, RN
Registered Nurse, Psych/Mental Health, Adult in White City, OR. Individual provider (NPI-1).
NPI number1003554585
StatusActive
Last updated in NPPESMay 24, 2022
Details
- NPI
- 1003554585
- Entity type
- Individual (NPI-1)
- Name
- Kandice Draayer
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 24, 2022
- Certification date
- May 24, 2022
- Last updated
- May 24, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 201902565RN | OR | Yes |
Practice location
8495 Crater Lake HwyWhite City, OR 97503-3011
Phone 541-826-2111
Mailing address
8495 Crater Lake HwyWhite City, OR 97503-3011
Phone 541-826-2111
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Adult Psychiatric/Mental Health Registered Nurse providers in White City, OR
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