Individual
KELLY STOTT CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4445 SW BARBUR BLVD., SUITE 204, PORTLAND, OR 97239
(503) 235-3386
(503) 239-1694
Mailing address
4445 SW BARBUR BLVD, SUITE 204, PORTLAND, OR 97239-4047
(503) 235-3386
(503) 239-1694
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3512
OR
Other
Enumeration date
10/02/2006
Last updated
10/02/2014
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