Individual
TISH CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MS
Contact information
Practice address
7055 N WOOLSEY AVE, PORTLAND, OR 97203-4780
(503) 260-4076
Mailing address
7055 N WOOLSEY AVE, PORTLAND, OR 97203-4780
(503) 260-4076
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/26/2022
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