Individual
MARY ELIZABETH CAMERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
6745 SW HAMPTON ST, SUITE 200, TIGARD, OR 97223-8394
(503) 484-3027
(503) 620-4673
Mailing address
PO BOX 219182, PORTLAND, OR 97225-9182
(503) 484-3027
(503) 620-4673
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C 2775
OR
106H00000X
Marriage & Family Therapist
Primary
T 0811
OR
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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