Active NPIIndividual provider

Mr. Nicholas J Campo III, PMHNP

Nurse Practitioner, Psych/Mental Health in Bend, Oregon

NPI Number1003071499
Practice location
233 SW Wilson Ave Ste 201, Bend, OR 97702-2988
Fax
541-382-8928
Last updated
July 15, 2016

Nicholas J Campo is a Nurse Practitioner, Psych/Mental Health based in Bend, OR. Nicholas J Campo practices in Bend, OR and has the professional credentials of PMHNP. The NPI Number for Nicholas J Campo is 1003071499 and holds a License No. 200950092NP (OR). The current practice location address for Nicholas J Campo is 233 SW Wilson Ave Ste 201, Bend, OR 97702-2988 and can be reached out via phone at 541-382-8862 and via fax at 541-382-8928.

Provider Profile Details

NPI Number
1003071499
Provider Name
Nicholas J Campo
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
233 SW Wilson Ave Ste 201, Bend, OR 97702-2988
Phone Number
541-382-8862
Fax Number
541-382-8928
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
July 24, 2008
Last Update Date
July 15, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
233 SW Wilson Ave Ste 201
Bend, OR 97702-2988
City
Bend
State
Oregon
Zip
97702-2988
Phone Number
541-382-8862
Fax Number
541-382-8928
Bend, OR 97702Get directions →

Provider Business Mailing Address Details

Address
233 SW Wilson Ave Ste 201
Bend, OR 97702-2988
City
Bend
State
OR
Zip
97702-2988
Phone Number
541-382-8862
Fax Number
541-382-8928

License Information

License Number (1)
200950092NP
License State (1)
OR
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
License Number (2)
1147
License State (2)
AK
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Psych/Mental Health providers near Bend, OR

View all Nurse Practitioner, Psych/Mental Health providers in Bend →

Frequently Asked Questions

What is the NPI number of Mr. Nicholas J Campo III, PMHNP?

The NPI number of Mr. Nicholas J Campo III, PMHNP is 1003071499. It was assigned on July 24, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Nicholas J Campo III, PMHNP?

Mr. Nicholas J Campo III, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in OR under license number 200950092NP.

Where does Mr. Nicholas J Campo III, PMHNP practice?

The practice location is 233 SW Wilson Ave Ste 201, Bend, OR 97702-2988. The office can be reached at 541-382-8862 (phone) or 541-382-8928 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003071499 directly on the NPPES registry website.

Browse related providers