Provider Demographics
NPI:1982861779
Name:YOO CAMPBELL, JEAN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:
Last Name:YOO CAMPBELL
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 NE 139TH ST
Mailing Address - Street 2:SUITE 460
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-2309
Mailing Address - Country:US
Mailing Address - Phone:360-487-2727
Mailing Address - Fax:360-487-2729
Practice Address - Street 1:2101 NE 139TH ST
Practice Address - Street 2:SUITE 460
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-2309
Practice Address - Country:US
Practice Address - Phone:360-487-2727
Practice Address - Fax:360-487-2729
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD157060207RG0300X
WAMD.MD.60312078207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine