Individual
CAMEON GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2163 S 7TH ST, LEBANON, OR 97355-1119
(541) 451-8524
Mailing address
2163 S 7TH ST, LEBANON, OR 97355-1119
(541) 451-8524
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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