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General NPI Number Information
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NPI Number | 1558500330
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Entity Type | Individual
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Provider Name | EVELYN CAMACHO
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Gender | Female
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 03/19/2009
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Provider Practice Location Address
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Address Line | 450 4TH AVE SUITE 200
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City | CHULA VISTA
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State | CA
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Zip | 91910
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Country | US
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Telephone | 619-585-1619
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Fax | 619-585-1191
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Provider Business Mailing Address
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Address Line | 10570 SE WASHINGTON ST SUITE 202
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City | PORTLAND
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State | OR
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Zip | 97216
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Country | US
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Telephone | 503-257-6800
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Fax | 503-257-6810
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number |
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License Number State |
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