Individual
BRYCE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1253 NW CANAL BLVD, REDMOND, OR 97756-1334
(541) 548-8131
(541) 460-4028
Mailing address
PO BOX 6096, BEND, OR 97708-6096
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
3350
CT
363AM0700X
Medical Physician Assistant
Primary
PA179272
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/27/2015
Last updated
04/22/2020
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