Individual
MR. CAMERON RICHARD TYLER HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-I, CRM-II
Contact information
Practice address
5932 NE GLISAN ST STE F, PORTLAND, OR 97213-3754
(808) 773-2991
Mailing address
5932 NE GLISAN ST STE F, PORTLAND, OR 97213-3754
(808) 773-2991
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-10-11258
OR
175T00000X
Peer Specialist
22-CRM-II-0067
OR
Other
Enumeration date
01/13/2025
Last updated
02/15/2025
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