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1245954981
JIMMY JOHN CAMPBELL
PORTLAND, OR
NPI
1245954981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-09-27
Last Update Date
2024-07-19
Business Address
JIMMY JOHN CAMPBELL
7621 N PORTSMOUTH AVE
PORTLAND, OR 97203-5953
Phone number: 503-240-7599
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Mailing Address
JIMMY JOHN CAMPBELL
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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