MEDICARE: CAMAS NATURAL HEALTH & WELLNESS CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	CH00003521	WA

General Provider Information

NPI Number	:	1285834341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMAS NATURAL HEALTH & WELLNESS CENTER, INC

Provider Business Mailing Address
First Line	:	4217 NE 154TH CT
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98682-7008
Country	:	US
Telephone Number	:	360-834-7533
Fax Number	:	360-360-0622

Provider Business Practice Location Address
First Line	:	337 NE 5TH AVE
Second Line	:
City	:	CAMAS
State	:	WA
Zip	:	98607-2030
Country	:	US
Telephone Number	:	360-834-7533
Fax Number	:	360-834-3084

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. GARY L SMITH
Credential	:	D.C.
Telephone Number	:	360-834-7533

Provider Enumeration Date	:	07/18/2007
Last Update Date	:	07/01/2024

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