Camacho, Samuel Albert
Camacho, Samuel Albert is an individual health care provider with primary practice located at 10201 Se Main St Suite 10, Portland OR 97216-2937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Camacho, Samuel Albert can be contacted via phone (503) 257-0959.Contact Information
Primary practice address
10201 Se Main St Suite 10
Portland OR 97216-2937
Phone: (503) 257-0959
Fax: (503) 257-3457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD21405 | Oregon |
Profile Details
| NPI number | 1598757452 |
|---|---|
| LBN Legal business name | Camacho, Samuel Albert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Oct 8th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598757452 | NPPES |
| Oregon | MEDICAID | 134800 |
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