Provider Demographics
NPI:1427107861
Name:OCAMPO, CAESAR (A T, C)
Entity type:Individual
Prefix:MR
First Name:CAESAR
Middle Name:
Last Name:OCAMPO
Suffix:
Gender:M
Credentials:A T, C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:556 DUBLIN AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-1360
Mailing Address - Country:US
Mailing Address - Phone:541-463-8278
Mailing Address - Fax:
Practice Address - Street 1:200 SILVER LN
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404-2216
Practice Address - Country:US
Practice Address - Phone:541-687-4582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAT-AT-9976462255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer