Individual
JULIE E CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4034 N. HAIGHT AVE, PORTLAND, OR 97227
(317) 383-6706
Mailing address
4515 SW CORBETT, PORTLAND, OR 97259
(503) 224-5464
(503) 222-9474
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15892
OR
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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