W Lawrence Campbell, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD26304 Issued in OR

Practice address

1345 NW Wall St
Suite 200
Bend, OR 97701-1972

Phone

(541) 382-1395

Fax

(541) 382-6576

NPI assigned

May 4, 2006

Last updated

Jan 14, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Margaret Lang Smith Psychiatry LLC

  • Physician Assistant
  • Bend, OR
  • NPI 1629896022
  NPD (past)
• Oregon Psych NP, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
  • NPI 1760144166
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1801844790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 NW WALL ST",
            "address_2": "SUITE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011972",
            "telephone_number": "541-382-1395",
            "fax_number": "541-382-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 NW WALL ST",
            "address_2": "SUITE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011972",
            "telephone_number": "541-382-1395",
            "fax_number": "541-382-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "W",
        "middle_name": "LAWRENCE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD26304",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "E3661",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen A Campbell, PHD
• Keith Campbell, MD, PHD
• Melissa Campbell, R.N., IBCLC
• Stacy Ann Campbell, LPC, RPT
• Stephanie Campbell
• Nicholas J Campo III, PMHNP
• Leonardo A Campos, M.D.
• Kimberly K Canaday, RN, ANP
• Tabitha Marie Canales, RN
• Vincent Paul Cancelliere

• Psychiatry Physician in Bend, OR
• Providers in Bend, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.