Individual
NOELLE DOMINIQUE VACCHIO-CAULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2042 NE WILLIAMSON CT, BEND, OR 97701-3760
(541) 706-6905
(541) 706-6906
Mailing address
723 71ST ST, SPRINGFIELD, OR 97478-4205
(541) 968-6676
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
174942
OR
Other
Enumeration date
11/17/2015
Last updated
04/20/2020
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