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General NPI Number Information
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NPI Number | 1821918657
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Entity Type | Organization
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Legal Business Name | BRIANNA CAMP, LMT LLC
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 446 E ST
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City | SPRINGFIELD
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State | OR
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Zip | 97477-3967
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Country | US
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Telephone | 541-513-9879
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Fax |
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Provider Business Mailing Address
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Address Line | 446 E ST
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City | SPRINGFIELD
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State | OR
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Zip | 97477-3967
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Country | US
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Telephone | 541-513-9879
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Fax |
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Authorized Official
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Title or Position | OWNER AND LICENSED MASSAGE THERAPIS
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Name | BRIANNA ODESSA CAMP
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Credential |
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Telephone | 541-513-9879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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