Hubert, Cammi L

Hubert, Cammi L is an individual health care provider with primary practice located at 17645 Nw Saint Helens Rd , Portland OR 97231-1729. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Hubert, Cammi L can be contacted via phone (503) 621-1069.

Contact Information

Primary practice address
17645 Nw Saint Helens Rd Portland OR 97231-1729
Phone: (503) 621-1069
Fax: (503) 621-0200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11-CRM-064 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 19-QMHA-I-01871 Oregon
Other Service Providers / Peer Specialist 175T00000X THW000002638 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 14-04-17 Oregon

Profile Details

NPI number 1952689846
LBN Legal business name Hubert, Cammi L
Credentials CADC II/CRM/PSS/QMHA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2011
Last updated Dec 20th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952689846 NPPES
Oregon MEDICAID 500761226
Oregon MEDICAID 500737904
Oregon MEDICAID 500647496

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