Provider Demographics
NPI:1265689913
Name:SCHOBERT, CAMDEN ALEXANDER (MSCP, PSYD)
Entity type:Individual
Prefix:
First Name:CAMDEN
Middle Name:ALEXANDER
Last Name:SCHOBERT
Suffix:
Gender:F
Credentials:MSCP, PSYD
Other - Prefix:
Other - First Name:CAMDEN
Other - Middle Name:RAE
Other - Last Name:MCCLINTOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2855 SW UPPER DR
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201-1765
Mailing Address - Country:US
Mailing Address - Phone:310-924-1730
Mailing Address - Fax:
Practice Address - Street 1:3710 SW VETERANS HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-2964
Practice Address - Country:US
Practice Address - Phone:310-924-1730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OR2228103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program