Healthcare Provider Details

I. General information

NPI: 1831013283
Provider Name (Legal Business Name): CAMPUS CLINICALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 CENTRE LAKE DR NE STE 201B
PALM BAY FL
32907-1177
US

IV. Provider business mailing address

3010 DOMINION DR
MARYVILLE TN
37803-8309
US

V. Phone/Fax

Practice location:
  • Phone: 503-559-4478
  • Fax:
Mailing address:
  • Phone: 503-559-4478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOSHUA ARGUIEN
Title or Position: VP OF ADMIN
Credential:
Phone: 503-559-4478