Individual
CAMRON CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6828 SE HOLGATE BLVD, PORTLAND, OR 97206-3504
(503) 849-3711
Mailing address
6828 SE HOLGATE BLVD, PORTLAND, OR 97206-3504
(503) 849-3711
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
A182443
OR
261QR0800X
Recovery Care Clinic/Center
A182443
OR
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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