Individual
RICHARD J CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
300 N WINNING WAY, PORTLAND, OR 97227-2108
(503) 919-8514
Mailing address
PO BOX 3009, PORTLAND, OR 97208-3009
(503) 919-8514
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10144816
OR
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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