Individual
PAUL ANTHONY CAMPAGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 NW 11TH ST, E37, HERMISTON, OR 97838-8602
(541) 667-3732
(541) 667-3731
Mailing address
610 NW 11TH ST, HERMISTON, OR 97838-8602
(541) 667-3732
(541) 667-3731
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD12932
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213051
—
OR
Enumeration date
05/19/2006
Last updated
07/08/2007
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