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Individual

CAMILLE VIDRINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9670 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3307
(971) 229-4009
(866) 324-6009
Mailing address
7055 SW IVY LN APT 1, PORTLAND, OR 97225-1151
(775) 376-2565

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C11308
OR
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/06/2022
Last updated
03/03/2026
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