Individual
PATTI JEAN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL OFFICE, CLACKAMAS, OR 97015-8970
(503) 571-1995
Mailing address
10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL OFFICE, CLACKAMAS, OR 97015-9764
(503) 571-1995
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
OR 1733
OR
Other
Enumeration date
09/22/2006
Last updated
07/11/2007
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