| Patricia Camplair, Phd Pc | |
|
1020 Sw Taylor St Ste 720 Portland OR 97205-2512 | |
| (503) 827-5135 | |
| (503) 848-6101 |
| Full Name | Patricia Camplair, Phd Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1020 Sw Taylor St Ste 720, Portland, Oregon |
| Authorized Official Name and Position | Patricia Camplair (OWNER) |
| Authorized Official Contact | 5038275135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Camplair, Phd Pc 1020 Sw Taylor St Ste 720 Po Box 91117 Portland OR 97205-2512 Ph: (503) 827-5135 | Patricia Camplair, Phd Pc 1020 Sw Taylor St Ste 720 Portland OR 97205-2512 Ph: (503) 827-5135 |
| NPI Number | 1306132220 |
|---|---|
| Provider Enumeration Date | 06/20/2011 |
| Last Update Date | 06/20/2011 |
| Medicare PECOS PAC ID | 2668640905 |
|---|---|
| Medicare Enrollment ID | O20110712000691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306132220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 946 (Oregon) | Primary |
| Provider Name | Patricia S Camplair |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942417845 PECOS PAC ID: 4385812627 Enrollment ID: I20110712000715 |
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