Individual
JULIANA MARIE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
625 OKANOGAN AVE, WENATCHEE, WA 98801-6409
(503) 686-3008
Mailing address
15520 SW BEEF BEND RD, TIGARD, OR 97224-1165
(503) 686-3008
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
201130406LPN
OR
164W00000X
Licensed Practical Nurse
61420
ID
164W00000X
Licensed Practical Nurse
Primary
LP60300349
WA
Other
Enumeration date
11/07/2021
Last updated
09/13/2022
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