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Individual

CAMILLE COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5441 S MACADAM AVE # 8112, PORTLAND, OR 97239-6106
(503) 298-5722
Mailing address
3507 NE 12TH AVE, PORTLAND, OR 97212-2250
(971) 678-7008

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
150109749
IL
1041C0700X
Clinical Social Worker
A14365
OR
1041C0700X
Clinical Social Worker
Primary
L16312
OR

Other

Enumeration date
02/01/2023
Last updated
07/14/2025
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