Provider Demographics
NPI:1982747010
Name:CAMPBELL, AARON CHRISTIAN (ND)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:CHRISTIAN
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 E 25TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-3219
Mailing Address - Country:US
Mailing Address - Phone:360-696-9455
Mailing Address - Fax:360-695-5300
Practice Address - Street 1:204 E 25TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-3219
Practice Address - Country:US
Practice Address - Phone:360-696-9455
Practice Address - Fax:360-695-5300
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001166175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath