Individual
KYLEE ANN ROSETTE CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 N GRAHAM ST STE 250, PORTLAND, OR 97227-1666
(503) 280-3418
Mailing address
PO BOX 4399, PORTLAND, OR 97208-4399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA216028
OR
363AS0400X
Surgical Physician Assistant
PA216028
OR
Other
Enumeration date
07/26/2023
Last updated
08/22/2025
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