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Individual

ANGELICA MARIA CAMPOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
435 NE EVANS ST STE A, MCMINNVILLE, OR 97128-4635
(206) 901-1685
Mailing address
PO BOX 523, WILLAMINA, OR 97396-0523
(541) 921-8039

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
175T00000X
Peer Specialist

Other

Enumeration date
06/27/2023
Last updated
02/29/2024
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