Individual
SARAH CHANEY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
124 NE 181ST AVE, PORTLAND, OR 97230-6668
(503) 489-1760
Mailing address
PO BOX 15299, PORTLAND, OR 97293-5299
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8004
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14386112
CAQH
—
Enumeration date
09/08/2015
Last updated
02/22/2019
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