Stephanie Juliet Campbell, DO, LLC
Dermatology in McMinnville, OR. Organization (NPI-2).
NPI number1629640693
StatusActive
Last updated in NPPESJun 16, 2022
Details
- NPI
- 1629640693
- Entity type
- Organization (NPI-2)
- Legal business name
- Stephanie Juliet Campbell, DO, LLC
- Organization subpart
- No
- Enumeration date
- Jul 11, 2021
- Certification date
- Jun 16, 2022
- Last updated
- Jun 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Other names
- Campbell Dermatology And Aesthetics (Doing Business As)
Practice location
706 Ne Evans StMcMinnville, OR 97128-3926
Phone 808-498-6617
Mailing address
706 Ne Evans StMcMinnville, OR 97128-3926
Phone 503-472-1405 · Fax 503-434-5950
Authorized official
Stephanie Juliet Campbell
Owner/Physician
5034721405
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