Campbell, Michelle Rose
Campbell, Michelle Rose is an individual health care provider with primary practice located at 1027 E. Burnside , Portland OR 97214. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Campbell, Michelle Rose can be contacted via phone (503) 239-8400.Contact Information
Primary practice address
1027 E. Burnside
Portland OR 97214
Phone: (503) 239-8400
Fax: (503) 239-8406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 125001555 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1265680847 |
|---|---|
| LBN Legal business name | Campbell, Michelle Rose |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2008 |
| Last updated | Jul 29th, 2009 - about 16 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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