Chriselda Leigh Camarillo | Portland, OR • PECOS Search

Chriselda Leigh Camarillo

Social Worker

Behavioral Health & Social Service Providers

3431 SE 36th Ave, Portland, OR 97202-1817

(503) 863-5901 (503) 439-0369

PECOS Enrollment

Based on the most recent information from CMS, provider Chriselda Leigh Camarillo does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1194928549
Provider Type
Individual
Full Name
Camarillo, Chriselda Leigh
Title
Mrs.

Gender
Female
Sole Proprietor
No
Enumeration Date
6/5/2007
Last Updated
7/8/2007

Contact Information

Practice Location

3431 SE 36th Ave, Portland, OR 97202-1817

Unlisted Fax

Mailing Location

1825 NW 143rd Ave Apt C16, Portland, OR 97229-8128

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer