Healthcare Provider Details

I. General information

NPI: 1285566943
Provider Name (Legal Business Name): NATHANIEL ZEKE CAMPFIELD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 SW HIGGINS AVE STE 104
MISSOULA MT
59803-1489
US

IV. Provider business mailing address

330 E BECKWITH AVE
MISSOULA MT
59801-5839
US

V. Phone/Fax

Practice location:
  • Phone: 406-201-6885
  • Fax:
Mailing address:
  • Phone: 406-370-8620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: