Organization
CAMERON CARE POWELL
Active
Parent organization
CAMERON CARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAMERON CARE, INC.
Authorized official
MR. COREY S CAMERON (OWNER)
(503) 320-4764
Entity
Organization
Contact information
Practice address
14309 SE POWELL BLVD, PORTLAND, OR 97236
(503) 320-4764
Mailing address
PO BOX 339, FAIRVIEW, OR 97024-0339
(503) 320-4764
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
488
CPMS
OR
Enumeration date
12/10/2008
Last updated
12/10/2008
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