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Individual

COLLEEN ANN FARRELL-CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP.CR

Contact information

Practice address
3138 EVERGREEN WAY, WASHOUGAL, WA 98671-2046
(360) 608-6117
Mailing address
5002 NE 40TH AVE, VANCOUVER, WA 98661-2306
(360) 737-9720

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA16365
WA

Other

Enumeration date
11/15/2006
Last updated
07/08/2007
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