Individual
CAMILLE S CALDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-4500
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-4500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
43928
CO
207VG0400X
Gynecology Physician
Primary
169151
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017691
KAISER-COMMERCIAL NUMBER
—
05
—
11405708
—
CO
01
—
169151
OREGON LICENSE
OR
05
—
500674753
—
OR
Enumeration date
04/19/2007
Last updated
09/16/2014
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