Campbell, Jimmy John

Campbell, Jimmy John is an individual health care provider with primary practice located at 7621 N Portsmouth Ave , Portland OR 97203-5953. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Campbell, Jimmy John can be contacted via phone (503) 240-7599.

Contact Information

Primary practice address
7621 N Portsmouth Ave Portland OR 97203-5953
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1245954981
LBN Legal business name Campbell, Jimmy John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2022
Last updated Jul 19th, 2024 - about last year

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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