Individual provider Active NPI

Candace Markley, MD, MPH

  • Family Medicine Physician
  • Longview, WA
National Provider Identifier
1770013005
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61097599 Issued in WA
Practice address
1044 11TH Ave
Longview, WA 98632-2506
Phone
(360) 575-8275
Fax
(360) 575-1950
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD61097599 WA
Family Medicine Physician 207Q00000X MD61097599 WA Primary

Addresses

Primary practice location

1044 11TH Ave
Longview, WA 98632-2506

Mailing address

PO Box 2429
Longview, WA 98632-8486
Phone (360) 353-9431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210610003318 WA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 8921331034 Reassigns benefits to 1 organization
I20250327000187 TX Practitioner - Family Practice 8921331034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Emory University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cowlitz Indian TribeGroup PAC ID 8820030133, 26 clinicians

Practice addresses (Care Compare)

1044 11TH Ave
Longview, WA 98632-2506
Phone (360) 575-3314

Hospital & facility affiliations

  • Peacehealth St John Medical Center Hospital, Longview, WA, CCN 500041
  • Legacy Salmon Creek Medical Center Hospital, Vancouver, WA, CCN 500150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers CurrentSince Mar 5, 2021 Accepting new patients
Sea Mar Community Health Centers Family Medicine Current Accepting new patients
Cowlitz Indian Tribe CurrentSince Jan 27, 2025 Accepting new patients
Sea Mar Community Health Centers Family Medicine CurrentSince Mar 5, 2021 Accepting new patients
Cowlitz Indian Tribe CurrentSince Jan 27, 2025 Accepting new patients
Cowlitz Indian Tribe Past Accepting new patients
Cowlitz Indian Tribe Past Accepting new patients
Cowlitz Indian Tribe Past Accepting new patients
Cowlitz Indian Tribe Past Accepting new patients

Locations

1000 Davis Pl
DuPont, WA 98327
Phone (206) 721-5170

1044 11th Ave
Longview, WA 98632
Phone (360) 575-3314

900 Fir St
Longview, WA 98632
Phone (360) 353-9422

1400 N Laventure Rd
Mount Vernon, WA 98273
Phone (360) 428-4075

15455 65th Ave S
Tukwila, WA 98188
Phone (206) 721-5170

6450 Southcenter Blvd
Tukwila, WA 98188
Phone (206) 446-5410

7700 NE 26th Ave
Vancouver, WA 98665
Phone (360) 397-8228

14508 NE 20th Ave
Ste 102
Vancouver, WA 98686
Phone (360) 574-9730

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1770013005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2429",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986328486",
            "telephone_number": "360-353-9431",
            "fax_number": "360-353-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 11TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322506",
            "telephone_number": "360-575-8275",
            "fax_number": "360-575-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKLEY",
        "first_name": "CANDACE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD61097599",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61097599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

Verify at the official NPI Registry.