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Individual

LEVI CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
16315 SW BARROWS RD STE 203, BEAVERTON, OR 97007-9461
(503) 746-6585
Mailing address
16315 SW BARROWS RD STE 203, BEAVERTON, OR 97007-9461

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22279
OR

Other

Enumeration date
09/16/2017
Last updated
09/16/2017
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