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General NPI Number Information
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NPI Number | 1316499528
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Entity Type | Individual
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Provider Name | CAMILLE LEWIS
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Gender | Female
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Dates
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Enumeration Date | 11/04/2016
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 11035 NE SANDY BLVD
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City | PORTLAND
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State | OR
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Zip | 97220-2553
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Country | US
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Telephone | 503-258-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 2333 NE 106TH AVE APT 223
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City | HILLSBORO
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State | OR
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Zip | 97124-8214
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Country | US
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Telephone | 909-859-9065
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW95148
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License Number State | CA
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