Individual
MS. NANCY MARIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4035 S.W. MERCHANTILE DRIVE,, SUITE 104, LAKE OSWEGO, OR 97035
(503) 635-1350
Mailing address
PO BOX 278, WOODBURN, OR 97071-0278
(971) 983-5260
(971) 983-5326
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00788
OR
Other
Enumeration date
08/21/2006
Last updated
11/20/2017
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