Annika Michele Johnson Campbell, PSYD is a
Psychologist based in Woodburn, Oregon. Annika Michele Johnson Campbell is licensed to practice in Oregon (license number 3425) and her current practice location is
1175 Mount Hood Ave, Woodburn, Oregon. She can be reached at her office (for appointments etc.) via phone at
(509) 662-6000.
NPI number for Annika Michele Johnson Campbell is 1083177604 and her current mailing address is 1175 Mount Hood Ave, Woodburn, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083177604.
Healthcare Provider's Profile
| Full Name | Annika Michele Johnson Campbell |
|---|
| Gender | Female |
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| Speciality | Psychologist |
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| Location | 1175 Mount Hood Ave, Woodburn, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083177604
- Provider Enumeration Date: 04/10/2019
- Last Update Date: 05/09/2022
Medical Identifiers
Medical identifiers for Annika Michele Johnson Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083177604 | NPI | - | NPPES |
| 2133958 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | MC60969986 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | MC60969986 (Washington) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 3425 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Annika Michele Johnson Campbell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Annika Michele Johnson Campbell, PSYD
1175 Mount Hood Ave,
Woodburn, OR 97071-9060
Ph: (503) 982-2000 | Annika Michele Johnson Campbell, PSYD
1175 Mount Hood Ave,
Woodburn, OR 97071-9060
Ph: (509) 662-6000 |
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