Campbell, Keith A
Campbell, Keith A is an individual health care provider with primary practice located at 1942 Nw Kearney St Ste 24 , Portland OR 97209-1465. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Campbell, Keith A can be contacted via phone (503) 221-7074.Contact Information
Primary practice address
1942 Nw Kearney St Ste 24
Portland OR 97209-1465
Phone: (503) 221-7074
Fax: (503) 636-8784
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 619 | Oregon |
Profile Details
| NPI number | 1104964436 |
|---|---|
| LBN Legal business name | Campbell, Keith A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2007 |
| Last updated | May 7th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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