Juntunen, Camille Renee
Juntunen, Camille Renee is an individual health care provider with primary practice located at 1675 Sw Marlow Ave Ste 200 , Portland OR 97225-5102. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Juntunen, Camille Renee can be contacted via phone (503) 228-6479.Contact Information
Primary practice address
1675 Sw Marlow Ave Ste 200
Portland OR 97225-5102
Phone: (503) 228-6479
Fax: (503) 228-4248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 12173 | Oregon |
Profile Details
| NPI number | 1609828730 |
|---|---|
| LBN Legal business name | Juntunen, Camille Renee |
| Credentials | MA,CCC/SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Dec 3rd, 2013 - about 13 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 | 1609828730 | NPPES |
| Oregon | MEDICAID | 226618 | |
| Oregon | Other | 026648000 | |
| Oregon | Other | B060403 | |
| Oregon | Other | A003 | |
| Oregon | Other | 930838454 |
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