Individual
MR. CASEY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LPC
Contact information
Practice address
4634 NE GARFIELD AVE STE B, PORTLAND, OR 97211-3313
(503) 714-8762
Mailing address
4634 NE GARFIELD AVE STE B, PORTLAND, OR 97211-3313
(503) 714-8762
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R3136
OR
Other
Enumeration date
01/01/2017
Last updated
01/30/2024
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