Individual
CAMBRIA MCCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, RN
Contact information
Practice address
12105 NE 121ST ST, BRUSH PRAIRIE, WA 98606-2105
(360) 921-9712
Mailing address
12105 NE 121ST ST, BRUSH PRAIRIE, WA 98606-2105
(360) 921-9712
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201141303RN
OREGON STATE BOARD OF NURSING
OR
01
—
805160
CALIFORNIA BOARD OF REGISTERED NURSING
CA
Enumeration date
05/16/2017
Last updated
07/21/2022
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