Individual
MS. STACEY M CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1151 MAY ST, SUITE 201, HOOD RIVER, OR 97031-1526
(541) 387-1300
(541) 386-6224
Mailing address
PO BOX 3390, PORTLAND, OR 97208-3390
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01196
OR
363A00000X
Physician Assistant
PA10004739
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0142139
WA STATE D L&I NUMBER
WA
05
—
500600089
—
OR
05
—
8416539
—
WA
01
—
P00630499
RR MEDICARE (PH&S)-PMG
OR
Enumeration date
11/03/2006
Last updated
02/18/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us