Campbell, Patrick M

Campbell, Patrick M is an individual health care provider with primary practice located at 4805 Ne Glisan St , Portland OR 97213-2933. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Campbell, Patrick M can be contacted via phone (503) 215-2392.

Contact Information

Primary practice address
4805 Ne Glisan St Portland OR 97213-2933
Phone: (503) 215-2392
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD26355 Oregon
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD26355 Oregon

Profile Details

NPI number 1578533980
LBN Legal business name Campbell, Patrick M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Mar 30th, 2017 - 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 1578533980 NPPES
Oregon Other P00940163 RR MEDICARE - PROVIDENCE
Oregon MEDICAID 273818 RR MEDICARE - PROVIDENCE

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