Individual
DR. SAMUEL ALBERT CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10201 SE MAIN ST, SUITE 10, PORTLAND, OR 97216-2937
(503) 257-0959
(503) 257-3457
Mailing address
2222 NW LOVEJOY ST, SUITE 606, PORTLAND, OR 97210-3033
(503) 229-7554
(503) 229-7287
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD21405
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134800
—
OR
Enumeration date
08/17/2005
Last updated
10/08/2008
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