Individual
EAMON CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19800 VILLAGE OFFICE CT, 104, BEND, OR 97702-1872
(541) 306-3483
Mailing address
19800 VILLAGE OFFICE CT, 104, BEND, OR 97702-1872
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-B10179546
OR
Other
Enumeration date
04/25/2014
Last updated
10/19/2016
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