Active NPI
Stephen Cameron, M.D.
- Addiction Medicine (Family Medicine) Physician
- Portland, OR
National Provider Identifier
1316006166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 5241
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD40901 | Medicaid | AK |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5241 | AK | MD | Addiction 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.