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General NPI Number Information
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NPI Number | 1316006166
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Entity Type | Individual
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Provider Name | STEPHEN CAMERON M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/07/2006
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Last Update Date | 06/08/2010
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Provider Practice Location Address
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Address Line | 3449 N ANCHOR ST SUITE 300A
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City | PORTLAND
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State | OR
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Zip | 97217-7679
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Country | US
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Telephone | 907-903-9212
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Fax | 907-796-8455
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Provider Business Mailing Address
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Address Line | 3449 NORTH ANCHOR SUITE 300A CONCENTRA
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City | PORTLAND
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State | OR
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Zip | 97217-7808
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Country | US
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Telephone | 907-903-9212
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Fax | 907-796-8455
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 5241
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License Number State | AK
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