Johnson Campbell, Annika Michele

Johnson Campbell, Annika Michele is an individual health care provider with primary practice located at 1175 Mount Hood Ave , Woodburn OR 97071-9060. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Johnson Campbell, Annika Michele can be contacted via phone (509) 662-6000.

Contact Information

Primary practice address
1175 Mount Hood Ave Woodburn OR 97071-9060
Phone: (509) 662-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X MC60969986 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MC60969986 Washington
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3425 Oregon

Profile Details

NPI number 1083177604
LBN Legal business name Johnson Campbell, Annika Michele
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2019
Last updated May 9th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083177604 NPPES
Washington MEDICAID 2133958

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