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Individual

DR. BARBARA KANE CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1942 NW KEARNEY ST, SUITE 24, PORTLAND, OR 97209-1426
(503) 227-3932
(503) 636-8784
Mailing address
1942 NW KEARNEY ST, STE 24, PORTLAND, OR 97209-1465
(503) 221-7074
(503) 636-8784

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
560
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
560
PSYCHOLOGIST LICENSE
OR
Enumeration date
11/10/2006
Last updated
12/08/2016
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