Individual
CHRIS CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1011 DESPERADO TRL, SISTERS, OR 97759-9580
(541) 549-3574
(541) 549-1092
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62624
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500740018
—
OR
Enumeration date
02/13/2018
Last updated
03/19/2018
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