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Individual

PAUL C. CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
RENTON SCHOOL DISTRICT 403, 300 SW 7TH STREET, RENTON, WA 98057
(425) 204-2300
Mailing address
325 9TH AVE, BOX 359750, SEATTLE, WA 98104-2420
(206) 744-9888
(206) 744-9773

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002932
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
90277U
REGENCE BLUE SHIELD PIN
WA
Enumeration date
08/04/2006
Last updated
10/18/2022
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