MEDICARE: DR. WENDY LEE CAMPBELL PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	1591	OR

General Provider Information

NPI Number	:	1033392592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WENDY LEE CAMPBELL PSY.D.

Provider Business Mailing Address
First Line	:	2926 NW HILL ST
Second Line	:
City	:	CAMAS
State	:	WA
Zip	:	98607-1971
Country	:	US
Telephone Number	:	503-705-3771
Fax Number	:	360-944-8436

Provider Business Practice Location Address
First Line	:	2926 NW HILL ST
Second Line	:
City	:	CAMAS
State	:	WA
Zip	:	98607-1971
Country	:	US
Telephone Number	:	503-705-3771
Fax Number	:	360-944-8436

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2007
Last Update Date	:	04/16/2026

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