Individual
MRS. NICOLE CAMPBELL MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
61250 SE COOMBS PL, BEND, OR 97702-3704
(541) 706-5930
(541) 706-5931
Mailing address
501 N GRAHAM ST, SUITE 580, PORTLAND, OR 97227-1654
(603) 731-4390
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/25/2010
Last updated
04/16/2020
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