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General NPI Number Information
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NPI Number | 1053221606
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Entity Type | Individual
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Provider Name | CORI CAMPBELL
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Gender | Female
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 7320 SW HUNZIKER RD STE 204
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City | TIGARD
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State | OR
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Zip | 97223-2301
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Country | US
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Telephone | 503-837-3449
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Fax | 503-536-6768
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Provider Business Mailing Address
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Address Line | 17065 SW KINGLET DR
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City | SHERWOOD
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State | OR
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Zip | 97140-8195
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Country | US
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Telephone | 503-320-3530
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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