Individual provider Active NPI

John Campbell, MD

  • Vascular & Interventional Radiology Physician
  • Seattle, WA
National Provider Identifier
1013478270
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD203428 Issued in OR
Practice address
747 Broadway
Heath Building 10TH Floor
Seattle, WA 98122
Phone
(206) 215-4253
NPI assigned
Mar 28, 2019
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD70000730 WA
Vascular & Interventional Radiology Physician 2085R0204X MD203428 OR Primary

Addresses

Primary practice location

747 Broadway
Heath Building 10TH Floor
Seattle, WA 98122

Mailing address

445 Harlow Rd Ste 200
Springfield, OR 97477-1341

Other practice location 1

700 Lincoln St Ste 100
Kelso, WA 98626-1062
Phone (360) 425-5131

Other practice location 2

910 S Scheuber Rd
Centralia, WA 98531-9027
Phone (360) 736-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, ID3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230111001832 OR Practitioner - Diagnostic Radiology 9638403207 Reassigns benefits to 8 organizations
I20250814001181 WA Practitioner - Diagnostic Radiology 9638403207 Reassigns benefits to 1 organization
I20251009002481 ID Practitioner - Diagnostic Radiology 9638403207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Oregon Health Sciences University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Medical Imaging PLLCGroup PAC ID 1951711050, 23 clinicians
Oregon Imaging Centers LLCGroup PAC ID 7416859749, 27 clinicians
Radiology Associates PCGroup PAC ID 2567364847, 25 clinicians

Practice addresses (Care Compare)

1200 Hilyard St
Suite 330
Eugene, OR 97401-8110
Phone (775) 283-3130

445 Harlow Rd
Suite 200
Springfield, OR 97477-1346
Phone (541) 681-8586

512 Pole Line Rd
Suite 1
Twin Falls, ID 83301-6367
Phone (208) 735-5555

940 E 5TH St
Coquille, OR 97423-1666
Phone (541) 396-3101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD203428ORMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Imaging Centers, L.L.C. Diagnostic Radiology CurrentSince Aug 15, 2025 Accepting new patients
Coquille Valley Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Surgery Current Accepting new patients
Peacehealth CurrentSince Jul 30, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Dec 12, 2022 Accepting new patients
Radiology Associates PC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Coquille Valley Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Peacehealth CurrentSince Jul 30, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Dec 12, 2022 Accepting new patients
Innovative Medical Imaging, PLLC Diagnostic Radiology CurrentSince Jul 27, 2025 Accepting new patients
Peacehealth Current Accepting new patients
Peacehealth Past Accepting new patients

Locations

512 Pole Line Rd
Ste 1
Twin Falls, ID 83301
Phone (208) 735-5555

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

940 E 5th St
Coquille, OR 97423
Phone (541) 396-3101

1200 Hilyard St
Ste 330
Eugene, OR 97401
Phone (541) 334-7550

1255 Hilyard St
Eugene, OR 97401
Phone (503) 686-7300

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

3550 N Interstate Ave
Portland, OR 97227
Phone (503) 285-9321

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

445 Harlow Rd
Ste 200
Springfield, OR 97477
Phone (541) 302-7771

910 S Scheuber Rd
Centralia, WA 98531
Phone (360) 736-0200

700 Lincoln St
Ste 100
Kelso, WA 98626
Phone (360) 425-5131

5400 MacArthur Blvd
Vancouver, WA 98661
Phone (360) 696-5100

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c5c3b5c-6128-40bc-b71b-102ccb82d7e7/

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1013478270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 HARLOW RD STE 200",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 BROADWAY",
            "address_2": "HEATH BUILDING 10TH FLOOR",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98122",
            "telephone_number": "206-215-4253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Lincoln St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kelso",
            "state": "WA",
            "postal_code": "986261062",
            "country_code": "US",
            "telephone_number": "360-425-5131",
            "fax_number": "360-425-5509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 S Scheuber Rd",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985319027",
            "country_code": "US",
            "telephone_number": "360-736-0200",
            "fax_number": "360-736-0380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD70000730",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OR",
            "license": "MD203428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.