Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Candace Tickle

Individual provider Family Nurse Practitioner · NPI 1366059347

Candace Tickle is a Nurse Practitioner in Lake Oswego, Oregon. Qualified in 2021, 5 years ago. Practices with Nisha Jackson Inc, a 44-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2020

Practice location Address checks out

16463 Boones Ferry Rd Ste 300
Lake Oswego, OR 97035-4376
Phone: (503) 658-9351
Fax: (541) 708-5934
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10042487 (OR)

Record details

NPI number1366059347
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 24, 2020
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026
Mailing address16463 Boones Ferry Rd Ste 300, Lake Oswego, OR 97035-4376

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Nisha Jackson Inc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lake Oswego