Individual provider Active NPI

Camren Allen Moreland, BSN, RNFA, CNOR

  • Registered Nurse First Assistant
  • Grants Pass, OR
National Provider Identifier
1700779667
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
202209929RN Issued in OR
Practice address
1601 NW Hawthorne Ave
Grants Pass, OR 97526-1041
Phone
(541) 472-4880
NPI assigned
May 30, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 202209929RN OR Primary

Addresses

Primary practice location

1601 NW Hawthorne Ave
Grants Pass, OR 97526-1041

Mailing address

3284 Elk LN
Grants Pass, OR 97527-9190
Phone (918) 284-3980

Other practice location 1

500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone (541) 472-7000

Other practice location 2

1111 Crater Lake Ave
Medford, OR 97504-6241
Phone (541) 732-5000

Other practice location 3

577 Airport Rd
Medford, OR 97504-4159
Phone (541) 608-2460

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
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
202209929RNORMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1700779667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3284 ELK LN",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975279190",
            "telephone_number": "918-284-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW HAWTHORNE AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261041",
            "telephone_number": "541-472-4880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 SW Ramsey Ave",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975275554",
            "country_code": "US",
            "telephone_number": "541-472-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Crater Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975046241",
            "country_code": "US",
            "telephone_number": "541-732-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "577 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975044159",
            "country_code": "US",
            "telephone_number": "541-608-2460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORELAND",
        "first_name": "CAMREN",
        "middle_name": "ALLEN",
        "credential": "BSN, RNFA, CNOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "OR",
            "license": "202209929RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.