NPI 1770329096
Tish Campbell, LLC
Practice location
- Address
- 91-1245 Franklin D Roosevelt Ave APT 319, Kapolei, HI 96707-2177
- Phone
- (503) 260-4076
Authorised official
- Name
- Latisha Campbell
- Title
- Functional Nutritionist
- Phone
- (503) 260-4076
Registered specialties
Nutritionist
Primary
Registry record
- NPI
- 1770329096
- Entity type
- Organization
- NPI issued
- 5 Jul 2024
- Record last updated
- 5 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.