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Jacob Campbell
NPI 1891099750 · on the registry since 2011
Practice
- Address
- 720 W Court St Ste 8
Pasco, WA 99301 - Phone
- (509) 545-6506
- Organisation at this address
- Fourth Dimension Living, Foundations
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 32
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-01-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington