MEDICARE: OLIVER DANIEL VALDIVIA CAMACHO

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1841148913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVER DANIEL VALDIVIA CAMACHO

Provider Business Mailing Address
First Line	:	2730 S MOODY AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97201-5042
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2730 S MOODY AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97201-5042
Country	:	US
Telephone Number	:	503-494-2998
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

Similar Medicare Providers

1619974607 — DR. DENNIS CRANDALL NICOLA D.D.S.
Practice Location Address:

2730 SW MOODY AVE
PORTLAND, OR
97201-5042

Practice Phone: 503-346-4725
Practice Fax:

1407857295 — DR. CHARLES J RIM D.D.S.
Practice Location Address:

2730 S MOODY AVE
PORTLAND, OR
97201-5042

Practice Phone: 503-346-4710
Practice Fax:

1760475529 — DR. HOWARD M FREEDMAN DDS,PC
Practice Location Address:

2730 S MOODY AVE
PORTLAND, OR
97201-5042

Practice Phone: 503-494-8921
Practice Fax:

1144213851 — DR. BRIAN WHITTEN DDS
Practice Location Address:

2730 SW MOODY AVE
PORTLAND, OR
97201-5042

Practice Phone: 503-418-1669
Practice Fax: 503-494-8486

1598746687 — DR. GARY RANDALL NELSON D.D.S.
Practice Location Address:

2730 SW MOODY AVE
PORTLAND, OR
97201-5042

Practice Phone: 503-346-4708
Practice Fax:

1497727911 — PAMELA J HUGHES DDS
Practice Location Address:

2730 SW MOODY AVE
PORTLAND, OR
97201-5042

Practice Phone: 503-494-4461
Practice Fax:

Directions to “ OLIVER DANIEL VALDIVIA CAMACHO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.