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Individual

KATHLEEN CAMPOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
501 SE 172ND AVE STE 220, VANCOUVER, WA 98684-9542
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(503) 494-4779

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201609585NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
AP61451991
WA
363LF0000X
Family Nurse Practitioner
APRN001797
NV

Other

Enumeration date
10/29/2014
Last updated
11/03/2023
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