Organization
CAMERON CARE POWELL
Active
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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