Organization
TISH CAMPBELL, LLC
Active
Organization
TISH CAMPBELL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATISHA CAMPBELL PHD, CNS (FUNCTIONAL NUTRITIONIST)
(503) 260-4076
Entity
Organization
Contact information
Practice address
91-1245 FRANKLIN D ROOSEVELT AVE APT 319, KAPOLEI, HI 96707-2177
(503) 260-4076
Mailing address
91-1245 FRANKLIN D ROOSEVELT AVE APT 319, KAPOLEI, HI 96707-2177
(503) 260-4076
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up