Individual
MIGUEL A CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A, CDE
Contact information
Practice address
7201 N INTERSTATE AVE, PORTLAND, OR 97217-5523
(503) 240-3917
Mailing address
7201 N INTERSTATE AVE, PORTLAND, OR 97217-5523
(503) 240-3917
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
07/16/2007
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