Individual
BECKY EVE CAMPANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
847 NE 19TH AVE, PORTLAND, OR 97232-2684
(503) 238-0769
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
17-CRM-012
OR
172V00000X
Community Health Worker
Primary
THW1733
OR
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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