Individual
DON CAMPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHP, LMP, EFR
Contact information
Practice address
10525 STATE AVE, SUITE A, MARYSVILLE, WA 98271-7216
(425) 308-9194
Mailing address
16410 84TH ST NE, #D457, LAKE STEVENS, WA 98258-9060
(425) 308-9194
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00016332
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154479
L & I
WA
01
—
668492
ABMP
WA
Enumeration date
11/06/2006
Last updated
07/08/2007
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