Kammer, Clayton Charles

Kammer, Clayton Charles is an individual health care provider with primary practice located at 58646 Mcnulty Way , Saint Helens OR 97051-6210. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Kammer, Clayton Charles can be contacted via phone (503) 397-5211.

Contact Information

Primary practice address
58646 Mcnulty Way Saint Helens OR 97051-6210
Phone: (503) 397-5211
Fax: (503) 397-5373
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12-06-34 Oregon
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1811291610
LBN Legal business name Kammer, Clayton Charles
Credentials QMHA-CADC1
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2011
Last updated Dec 5th, 2012 - about 12 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 1811291610 NPPES
Oregon MEDICAID 123190

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