Provider Demographics
NPI:1437748480
Name:CAMACHO, JAMES HEGARTY SANTIA PASSI
Entity Type:Individual
Prefix:MR
First Name:JAMES HEGARTY SANTIA
Middle Name:PASSI
Last Name:CAMACHO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WESTERN UNIVERSITY OF HEALTH SCIENCES COMP-NORTHWEST
Mailing Address - Street 2:200 MULLINS DRIVE
Mailing Address - City:LEBANON
Mailing Address - State:OR
Mailing Address - Zip Code:97355
Mailing Address - Country:US
Mailing Address - Phone:541-259-0235
Mailing Address - Fax:
Practice Address - Street 1:WESTERN UNIVERSITY OF HEALTH SCIENCES COMP-NORTHWEST
Practice Address - Street 2:200 MULLINS DRIVE
Practice Address - City:LEBANON
Practice Address - State:OR
Practice Address - Zip Code:97355
Practice Address - Country:US
Practice Address - Phone:541-259-0235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program