Campbell, Mary Susan

Campbell, Mary Susan is an individual health care provider with primary practice located at 1010 Sw Coast Hwy Suite 203, Newport OR 97365-5288. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Campbell, Mary Susan can be contacted via phone (541) 265-4947.

Contact Information

Primary practice address
1010 Sw Coast Hwy Suite 203 Newport OR 97365-5288
Phone: (541) 265-4947
Fax: (541) 574-7670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 137448 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209015842 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201600925NP-PP Oregon

Profile Details

NPI number 1346321577
LBN Legal business name Campbell, Mary Susan
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated May 24th, 2018 - about 8 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 1346321577 NPPES
Missouri MEDICAID 1346321577
Missouri MEDICAID 428755920

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