NPI 1386779635 · live from the CMS NPI Registry
Camille Kimberly Alenduff, LCSW, CADC1
Social Worker, Clinical in Portland, OR. National Provider Identifier 1386779635, active.
NPI record
| NPI | 1386779635 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 12636 Se Stark, Plaza 125, Building J, Portland, OR 97233 |
| Practice phone | 503-253-4600 |
| Enumerated | February 23, 2007 |
| Last updated | December 4, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | — |
| Social Worker, Clinical primary | 1041C0700X | L4481 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.