DR. STEPHANIE JULIET CAMPBELL (NPI# 1588957864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588957864 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE JULIET CAMPBELL |
| Other Name | STEPHANIE JULIET KANG |
| Credential | DO |
| Practice Address |
375 Se Norton Ln Ste C Mcminnville OR 97128 |
| Mailing Address |
1793 13th St Se Salem OR 97302-2541 |
| Practice Telephone | 5033628385 |
| Practice Fax Number | 5033628435 |
| Mailing Telephone | 5033628385 |
| Mailing Fax Number | 5033628435 |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | DO189847 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500758892 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1793 13th St Se, Salem, OR 973022541 | 5033628385 | 5033628435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053808204 | Stephanie Campbell | Counselor | 13801 Walsingham Rd Unit 127, Largo, FL 33774-3237 | 2018-04-13 |
| 1386166296 | Stephanie Campbell | Physical Therapy Assistant | 3635 Calder Ave Ste 109, Beaumont, TX 77706-5044 | 2017-07-12 |
| 1134661077 | Stephanie Campbell | Counselor | 1412 Crain Hwy N Ste 1b, Glen Burnie, MD 21061-9306 | 2016-11-09 |
| 1225418882 | Stephanie Campbell | Occupational Therapist | 957 Sugarbush Trl, Lexington, KY 40509-7000 | 2015-06-08 |
| 1851662480 | Stephanie Campbell | Licensed Practical Nurse | 1068 Prospect Ave, Toledo, OH 43606-4834 | 2012-01-12 |
| 1548567217 | Stephanie Hazel Campbell | Speech-Language Pathologist | Donahue Avenue, Number Two School, Inwood, NY 11096 | 2011-02-16 |
| 1588279327 | Stephanie M Campbell | Counselor | 49 Kessel Ct, Madison, WI 53711-6200 | 2020-09-09 |
| 1033755285 | Stephanie K Campbell | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-22 |
| 1336606300 | Stephanie Campbell | Student in an Organized Health Care Education/Training Program | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2019-02-26 |
| 1063998995 | Stephanie Campbell | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2018-07-13 |
| Street Address |
375 SE NORTON LN STE C |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697787 | Richard I Ecker | Dermatology | 706 Ne Evans St, Mcminnville, OR 97128-3926 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891327185 | Clear Choice Dermatology | Dermatology | 1815 E 15th St Ste B, The Dalles, OR 97058-3309 | 2020-02-05 |
| 1508303561 | Carter Kroeplin Haag | Dermatology | 3303 S Bond Ave # 16d, Portland, OR 97239-4501 | 2017-01-27 |
| 1043765134 | Noelle Teske | Dermatology | 3303 S Bond Ave Fl 16, Portland, OR 97239-4501 | 2016-08-18 |
| 1134579535 | Caroline Morris | Dermatology | 3303 S Bond Ave # Chh16d, Portland, OR 97239-4501 | 2016-06-16 |
| 1902260425 | Sarah Baca | Dermatology | 1800 Blankenship Rd Ste 448, West Linn, OR 97068-4191 | 2016-04-11 |
| 1194110288 | Betty Si Yuan Jiang | Dermatology | 17704 Jean Way Ste 102, Lake Oswego, OR 97035-5585 | 2015-04-06 |
| 1033539184 | Natasha Fewkes Carter | Dermatology | 4914 Sw 1st Ave, Portland, OR 97239-2883 | 2014-04-16 |
| 1538588504 | Elizabeth Berry | Dermatology | Ohsu Department of Dermatology, 3303 Sw Bond Ave Ch 16d, Portland, OR 97239-4501 | 2014-04-07 |
| 1851712038 | Charles Raymond Hahn | Dermatology | 187 Sw Eastman Pkwy, Ste. #72, Gresham, OR 97080-7002 | 2013-12-14 |
| 1225370927 | Alan Barry Lachman | Dermatology | 2630 Nw 144th Ave, Suite #100, Beaverton, OR 97006-5470 | 2013-03-20 |
| Find all providers with the same taxonomy | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.