Individual
MATTHEW JAY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
19009 33RD AVE W, 205, LYNNWOOD, WA 98036-4717
(425) 776-8787
(425) 776-1349
Mailing address
19009 33RD AVENUE WEST, 205, LYNNWOOD, WA 98036
(425) 776-8787
(425) 776-1349
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0002411
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58889
LABOR & INDUSTRY
WA
Enumeration date
12/11/2006
Last updated
07/08/2007
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