Individual
MRS. CHRISELDA LEIGH CAMARILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3431 SE 36TH AVE, PORTLAND, OR 97202-1817
(503) 863-5901
Mailing address
1825 NW 143RD AVE APT C16, PORTLAND, OR 97229-8128
(503) 439-0369
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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