Individual
PAUL VANCAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 SW ALLEN RD, BEND, OR 97702-3170
(541) 330-6160
Mailing address
115 SW ALLEN RD, BEND, OR 97702-3170
(541) 330-6160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19581
OR
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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