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Individual

JILL M CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 HIGHLINE DR, E WENATCHEE, WA 98802-5341
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60595403
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1932335502
WA
05
G8944395, G8944396
WA
01
P01544624
RR PTAN WVH
WA
Enumeration date
06/09/2009
Last updated
06/13/2022
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