Individual
CAMILLE BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
7504 SE WOODSTOCK BLVD, PORTLAND, OR 97206-5841
(831) 238-5761
Mailing address
7029 SE TAGGART ST, PORTLAND, OR 97206-1144
(831) 238-5761
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C6177
OR
Other
Enumeration date
09/18/2018
Last updated
11/16/2021
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