Active NPI
Cameron Michael Purington, ATC-R
- Athletic Trainer
- Gresham, OR
National Provider Identifier
1356685705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT-AT-10126590
- Practice address
- 24076 SE Stark St Ste 200
Gresham, OR 97030-3376 - Phone
- (503) 491-1666
- NPI assigned
- Nov 23, 2012
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT-AT-10126590 | OR | Primary |
Addresses
Primary practice location
24076 SE Stark St Ste 200
Gresham, OR 97030-3376
Mailing address
4188 NE El Camino Dr
Gresham, OR 97030-1749
Phone (541) 521-1190
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT-AT-10126590 | OR | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353628800000",
"number": "1356685705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4188 NE EL CAMINO DR",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970301749",
"telephone_number": "541-521-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24076 SE STARK ST STE 200",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303376",
"telephone_number": "503-491-1666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURINGTON",
"first_name": "CAMERON",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "ATC-R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-23",
"last_updated": "2012-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OR",
"license": "AT-AT-10126590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.