Most Relevant Information
Provider Data
| NPI Number: | 1003230434 |
| Provider Name: | JAQUELINE L CAMPAGNA PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 01231 |
Most Important Dates
| Enumeration Date: | 02/05/2014 |
| Last Updated: | 02/05/2014 |
Provider Practice Location
2500 NE NEFF RD
BEND
OR
977016015
Practice Location Phone/Fax
| Phone: | 5413824321 |
| Fax: |
Provider Mailing Location
PO BOX 6095
BEND
OR
977086095
Provider Mailing Phone/Fax
| Phone: | 5413824321 |
| Fax: |