Individual
DR. CLARK DANIEL CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
470 VILLA RD, NEWBERG, OR 97132-1858
(503) 538-6045
Mailing address
470 VILLA RD, NEWBERG, OR 97132-1858
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
618
OR
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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