CORY CAMPBELL (NPI# 1053959239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053959239 |
| Entity Type | Individual |
| Full Name | CORY CAMPBELL |
| Credential | LPC |
| Practice Address |
1545 Harbeck Rd Grants Pass OR 97527-5605 |
| Mailing Address |
1215 Sw G St Grants Pass OR 97526-2544 |
| Practice Telephone | 5414762373 |
| Mailing Telephone | 5414762373 |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C4610 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831133388 | Cory M Campbell | Chiropractor | 3750 Dacoro Ln, Suite 135, Castle Rock, CO 80109-2501 | 2006-06-15 |
| 1710998885 | Cory Campbell | Psychiatry & Neurology | 300 Medical Plz, Los Angeles, CA 90095-0001 | 2006-08-11 |
| Street Address |
1545 HARBECK RD |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-5605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922080357 | Lori Julia Krayer | Registered Nurse | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2005-11-21 |
| 1649870247 | Haley Starkey | Counselor | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2020-11-01 |
| 1447861349 | Shannon Wolters | Counselor | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2020-08-13 |
| 1053920231 | Jeanna Swanson | Counselor | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2020-07-23 |
| 1649888041 | Krisinda Lee Williams | Counselor | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2020-07-21 |
| 1316579972 | Maureen Schwartz | Counselor | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2020-02-11 |
| 1275174450 | Scott Matthew Hyde | Counselor | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2019-09-30 |
| 1295389427 | Patricia Arleen Kraemer | Peer Specialist | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2019-07-25 |
| 1922651892 | Eleanor Thomas | Counselor | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2019-07-19 |
| 1932677044 | Peter Weston II | Counselor | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2018-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912216326 | Autumn Melody Whaley | Counselor | 1750 Nebraska Ave, Grants Pass, OR 97527-5700 | 2010-10-03 |
| 1144463050 | Jane Powell | Counselor | 980 Sw 6th St Ste 18, Grants Pass, OR 97526-2910 | 2009-04-08 |
| 1679765689 | Kirby L Nave | Counselor | 1590 Se N St Ste C, Grants Pass, OR 97526-3905 | 2007-08-14 |
| 1326174046 | Tina Dutton | Counselor | 1215 Sw G. Street, Grants Pass, OR 97526-2544 | 2007-02-26 |
| 1699837674 | Esther Florence Goldberg | Counselor | 531 Ne 'e' St., Suite B, Grants Pass, OR 97526 | 2006-12-15 |
| 1801906805 | Scenic Rivers Psychiatric Associates PC | Counselor | 408 Ament Rd, Grants Pass, OR 97526-3916 | 2006-08-30 |
| 1184103301 | B.h. Counseling | Counselor | 1201 Ne 7th St Ste C, Grants Pass, OR 97526 | 2018-08-08 |
| 1881072502 | Desiree Martinez | Counselor | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2015-05-14 |
| 1801214796 | Alan Armstrong | Counselor | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2014-03-28 |
| 1265858658 | Robert E Lieberman | Counselor | 1590 Se N St, Grants Pass, OR 97526-3905 | 2014-03-10 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
Please comment or provide details below to improve the information on CORY CAMPBELL.
| 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.