Individual
MR. NICHOLAS J CAMPO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
233 SW WILSON AVE STE 201, BEND, OR 97702-2988
(541) 382-8862
(541) 382-8928
Mailing address
233 SW WILSON AVE STE 201, BEND, OR 97702-2988
(541) 382-8862
(541) 382-8928
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1147
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200950092NP
OR
Other
Enumeration date
07/24/2008
Last updated
07/15/2016
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