Active NPI
Cameron Care Powell
- Mental Illness Community Based Residential Treatment Facility
- Portland, OR
National Provider Identifier
1841435518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- CAMERON CARE POWELL
- Practice address
- 14309 SE Powell Blvd
Portland, OR 97236 - Phone
- (503) 320-4764
- NPI assigned
- Dec 10, 2008
- Organization subpart
- Yes
- Parent organization
- CAMERON CARE, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
14309 SE Powell Blvd
Portland, OR 97236
Mailing address
PO Box 339
Fairview, OR 97024-0339
Phone (503) 320-4764
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 488 | Other | OR | CPMS |
National Provider Directory
National Provider Directory- Tax ID family
- Cameron Care Boise
- 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.
-
- Mental Illness Community Based Residential Treatment Facility
- Portland, OR
- NPI 1740425628
-
- Mental Illness Community Based Residential Treatment Facility
- Portland, OR
- NPI 1922243815
Locations
14309 SE Powell Blvd
Portland, OR 97236
Phone (503) 320-4764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228867200000",
"number": "1841435518",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14309 SE POWELL BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97236",
"telephone_number": "503-320-4764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMERON CARE POWELL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAMERON CARE, INC.",
"enumeration_date": "2008-12-10",
"last_updated": "2008-12-10",
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CPMS",
"identifier": "488",
"state": "OR"
}
],
"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 10, 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.