NPIMap

Organization Active NPI

Cameron Care Boise

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, OR
National Provider Identifier
1740425628
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
CAMERON CARE BOISE
Practice address
12657 SE Boise St
Portland, OR 97236-3723
Phone
(503) 320-4764
Fax
(503) 214-9787
NPI assigned
Dec 8, 2008
Organization subpart
Yes
Parent organization
CAMERON CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Authorized official

Name
Mr. Corey S Cameron
Title
Owner
Phone
(503) 320-4764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

12657 SE Boise St
Portland, OR 97236-3723

Mailing address

PO Box 339
Fairview, OR 97024-0339
Phone (503) 320-4764

National Provider Directory

National Provider Directory
Tax ID family
Cameron Care Boise3 organizations share this tax ID, including this one
Part of
Cameron Care Boise

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1740425628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "FAIRVIEW",
            "state": "OR",
            "postal_code": "970240339",
            "telephone_number": "503-320-4764",
            "fax_number": "503-214-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12657 SE BOISE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363723",
            "telephone_number": "503-320-4764",
            "fax_number": "503-214-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMERON CARE BOISE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMERON CARE, INC.",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-320-4764",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "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 Dec 8, 2008; 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.