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Contact Information

SADIE A CAMPBELL, PSS/QMHA-I
620 NE 2ND ST
GRESHAM, OR97030
 Phone: 971-274-3757
 Fax: 503-912-5740
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Other Service Providers

175T00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for SADIE A CAMPBELL · (Female)

NPI # 1538517420
Status Active
Credentials PSS/QMHA-I
Entity Individual
Enumeration date 06/01/2016
Last updated 08/16/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 19-QMHA-I-00637
  • OR License # THW000001573
  • OR Medicaid 500733945
  • OR Medicaid 500747179
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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