Healthcare Provider Details
I. General information
NPI: 1851363709
Provider Name (Legal Business Name): ARMANDO DEGUZMAN CAMARA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/06/2006
Last Update Date: 02/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
333 SE 7TH AVE STE 5400
HILLSBORO OR
97123-4165
US
IV. Provider business mailing address
333 SE 7TH AVE STE 5400
HILLSBORO OR
97123-4165
US
V. Phone/Fax
- Phone: 503-648-0731
- Fax:
- Phone: 503-648-0731
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207UN0901X |
| Taxonomy | Nuclear Cardiology Physician |
| License Number | MD073186L |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | MD073186L |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | MD150848 |
| License Number State | OR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: