Provider Demographics
NPI:1063589091
Name:CAMPBELL, WILLIAM EDWARD III (LAC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:EDWARD
Last Name:CAMPBELL
Suffix:III
Gender:M
Credentials:LAC
Other - Prefix:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1336 98TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3413
Mailing Address - Country:US
Mailing Address - Phone:425-453-5154
Mailing Address - Fax:
Practice Address - Street 1:2800 E MADISON ST
Practice Address - Street 2:SUITE 300
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4871
Practice Address - Country:US
Practice Address - Phone:425-453-5154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2905171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist