Individual
BRUIN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9370 SW GREENBURG RD STE 413, TIGARD, OR 97223-5427
(971) 302-7374
Mailing address
12954 SW TEAROSE WAY, PORTLAND, OR 97223-6686
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
12/15/2022
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