Individual
CHELSEA L CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12540 SW 68TH AVE STE B, TIGARD, OR 97223-8597
(206) 369-7714
Mailing address
12540 SW 68TH AVE STE B, TIGARD, OR 97223-8597
(206) 369-7714
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24104
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801341-8
24104
OR
Enumeration date
07/08/2022
Last updated
07/08/2022
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