Provider Demographics
NPI:1184894289
Name:CAMPBELL, JAMES STUART
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:STUART
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 WESTCHESTER CT NW
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304-1841
Mailing Address - Country:US
Mailing Address - Phone:503-364-2645
Mailing Address - Fax:
Practice Address - Street 1:1095 25TH ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-5049
Practice Address - Country:US
Practice Address - Phone:503-399-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator