Most Relevant Information
Provider Data
| NPI Number: | 1003071499 |
| Provider Name: | NICHOLAS J CAMPO PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 200950092NP |
Most Important Dates
| Enumeration Date: | 07/24/2008 |
| Last Updated: | 07/15/2016 |
Provider Practice Location
233 SW WILSON AVE STE 201
BEND
OR
977022988
Practice Location Phone/Fax
| Phone: | 5413828862 |
| Fax: | 5413828928 |
Provider Mailing Location
233 SW WILSON AVE STE 201
BEND
OR
977022988
Provider Mailing Phone/Fax
| Phone: | 5413828862 |
| Fax: | 5413828928 |