Michelle Camburn, QMHP
Individual provider Active NPI Mental Health Counselor · Madras, OR
NPI 1033764337 · NPPES record last updated Aug 5, 2019
Key facts
- NPI
- 1033764337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 850 SW 4TH St
Madras, OR 97741-9628 - Phone
- (541) 475-6575
- Fax
- (541) 504-1195
- NPI assigned
- Aug 5, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
850 SW 4TH St
Madras, OR 97741-9628
Mailing address
PO Box 1710
Redmond, OR 97756-0516
Phone (415) 164-0875
Other providers in Madras, OR
- Billy L. Boynton
- Holly Brandt
- Amy L Bristow
- Peter Buhmann Sr.
- Jill Burch
- Angela Carter
- Cascade Medical Imaging LLC
- Amy Caudill
- Central Oregon Chiropractic Service PC
- Central Oregon Eyecare, PC
All providers in Madras, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.