Healthcare Provider Details
I. General information
NPI: 1902622053
Provider Name (Legal Business Name): CAMAS HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/22/2024
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
120 SHELTON MCMURPHEY BLVD STE 300
EUGENE OR
97401-8718
US
IV. Provider business mailing address
3636 RIVER HEIGHTS DR
SPRINGFIELD OR
97477-6714
US
V. Phone/Fax
- Phone: 785-249-5533
- Fax:
- Phone: 784-249-5533
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NICOLE
DELIMONT
Title or Position: OWNER, NURSE PRACTITIONER
Credential: PHD, NP-C
Phone: 785-249-5533