Hubert, Cammi L
Hubert, Cammi L is an individual health care provider with primary practice located at 17645 Nw Saint Helens Rd , Portland OR 97231-1729. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Hubert, Cammi L can be contacted via phone (503) 621-1069.Contact Information
Primary practice address
17645 Nw Saint Helens Rd
Portland OR 97231-1729
Phone: (503) 621-1069
Fax: (503) 621-0200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11-CRM-064 | Oregon |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 19-QMHA-I-01871 | Oregon |
| Other Service Providers / Peer Specialist | 175T00000X | THW000002638 | Oregon |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 14-04-17 | Oregon |
Profile Details
| NPI number | 1952689846 |
|---|---|
| LBN Legal business name | Hubert, Cammi L |
| Credentials | CADC II/CRM/PSS/QMHA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2011 |
| Last updated | Dec 20th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952689846 | NPPES |
| Oregon | MEDICAID | 500761226 | |
| Oregon | MEDICAID | 500737904 | |
| Oregon | MEDICAID | 500647496 |
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