Individual provider · Type 1 NPI

Lisa Marie Campos, LMT

Specialist · Beaverton, OR

NPI number 1558628008 Active

Practice location

1925 NW 173rd Ave, Apt #1610
Beaverton, OR 97006-7319

Call (503) 997-0680 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X18388 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1558628008

Lisa Marie Campos, LMT's National Provider Identifier is 1558628008, issued on Apr 20, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Beaverton, OR. The record was last updated on Apr 20, 2012.