Stephanie Juliet Campbell, DO, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

STEPHANIE JULIET CAMPBELL, DO, LLC

Practice address

706 NE Evans St
McMinnville, OR 97128-3926

Phone

(808) 498-6617

NPI assigned

Jul 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Juliet Campbell, DONPI 1588957864

Title

Owner/Physician

Phone

(503) 472-1405

Specialties & licenses 1

Addresses

Other names 1

• Campbell Dermatology and Aesthetics Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Juliet Campbell, DO

  • Dermatology Physician
  • McMinnville, OR
  • NPI 1588957864
  Medicare reassignment Care Compare group NPD Authorized official
• Joel Viles, PA-C

  • Physician Assistant
  • McMinnville, OR
  • NPI 1194210054
  Medicare reassignment Care Compare group
• Haley Clawson, PA-C

  • Physician Assistant
  • Portland, OR
  • NPI 1568230381
  NPD
• Richard I Ecker, M.D.

  • Dermatology Physician
  • McMinnville, OR
  • NPI 1881697787
  NPD (past)

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1629640693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 NE EVANS ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971283926",
            "telephone_number": "503-472-1405",
            "fax_number": "503-434-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 NE EVANS ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971283926",
            "telephone_number": "808-498-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE JULIET CAMPBELL, DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-11",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "JULIET",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "503-472-1405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell Dermatology and Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Campbell Dermatology and Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Florence Rose Starling, LMT
• Trevor Martin Stauber, D.C.
• Charity J Steele, LMT
• Justin Stehr, D.P.T
• Alexander Joseph Stein, RN BSN
• Stephen W. Teal, MD,Facs, PC
• Kevin Stephens
• John Michael Stepisnik Jr.
• Kerri J Stepisnik
• Danielle Marie Sterba, OTD, OTR/L

• Dermatology Physician in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Dermatology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.