Individual provider Active NPI

Stephen Cameron, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Portland, OR
National Provider Identifier
1316006166
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
5241 Issued in AK
Practice address
3449 N Anchor St
Suite 300a
Portland, OR 97217-7679
Phone
(907) 903-9212
Fax
(907) 796-8455
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 5241 AK Primary

Addresses

Primary practice location

3449 N Anchor St
Suite 300a
Portland, OR 97217-7679

Mailing address

3449 North Anchor Suite 300a
Concentra
Portland, OR 97217-7808
Phone (907) 903-9212

Other identifiers 1

IdentifierTypeStateIssuer
MD40901MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5241AKMDAddiction Medicine (Family Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1316006166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 NORTH ANCHOR SUITE 300A",
            "address_2": "CONCENTRA",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972177808",
            "telephone_number": "907-903-9212",
            "fax_number": "907-796-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 N ANCHOR ST",
            "address_2": "SUITE 300A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972177679",
            "telephone_number": "907-903-9212",
            "fax_number": "907-796-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "AK",
            "license": "5241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD40901",
            "state": "AK"
        }
    ],
    "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 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.