NPIMap

Organization Active NPI

Patricia Camplair, PHD PC

  • Adult Mental Health Clinic/Center
  • Portland, OR
National Provider Identifier
1306132220
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
946 Issued in OR
Legal business name
PATRICIA CAMPLAIR, PHD PC
Practice address
1020 SW Taylor St Ste 720
Portland, OR 97205-2512
Phone
(503) 827-5135
Fax
(503) 848-6101
NPI assigned
Jun 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Patricia Camplair, PH DNPI 1942417845
Title
Owner
Phone
(503) 827-5135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 946 OR Primary

Addresses

Primary practice location

1020 SW Taylor St Ste 720
Portland, OR 97205-2512

Mailing address

1020 SW Taylor St Ste 720
PO Box 91117
Portland, OR 97205-2512
Phone (503) 827-5135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110712000691 OR Part B Supplier - Clinic/Group Practice 2668640905 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

5319 SW Westgate Dr
Ste 131
Portland, OR 97221
Phone (503) 203-1777

1020 SW Taylor St
Ste 720
Portland, OR 97205
Phone (503) 827-5135

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1306132220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 720",
            "address_2": "PO BOX 91117",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052512",
            "telephone_number": "503-827-5135",
            "fax_number": "503-848-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 720",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052512",
            "telephone_number": "503-827-5135",
            "fax_number": "503-848-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA CAMPLAIR, PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "CAMPLAIR",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-827-5135",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OR",
            "license": "946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.