Individual
JASON ROBERT CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S
Contact information
Practice address
1750 NEBRASKA AVE # B, GRANTS PASS, OR 97527-5700
(541) 476-3302
(541) 476-2895
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 956-4943
(541) 956-5463
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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