Individual
DR. MICHAEL JACK CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
12607 SE MILL PLAIN BLVD, NORTHWEST PERMANENTE, CASCADE PARK MEDICAL OFFICE, VANCOUVER, WA 98684-6055
(360) 896-4460
(360) 896-4478
Mailing address
12607 SE MILL PLAIN BLVD, NORTHWEST PERMANENTE, CASCADE PARK MEDICAL OFFICE, VANCOUVER, WA 98684-6055
(360) 896-4460
(360) 896-4478
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41696
WA
2084P0800X
Psychiatry Physician
MD21774
OR
Other
Enumeration date
10/06/2006
Last updated
11/05/2021
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