Provider Demographics
NPI:1851363709
Name:CAMARA, ARMANDO DEGUZMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:DEGUZMAN
Last Name:CAMARA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 SE 7TH AVE STE 5400
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4165
Mailing Address - Country:US
Mailing Address - Phone:503-648-0731
Mailing Address - Fax:
Practice Address - Street 1:333 SE 7TH AVE STE 5400
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4165
Practice Address - Country:US
Practice Address - Phone:503-648-0731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD073186L207UN0901X, 207RC0000X
ORMD150848207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018449990005Medicaid
WV3810002860Medicaid
WV3810002860Medicaid
PA048346D9JMedicare PIN
PA048346NJ5Medicare PIN
PAP00432713Medicare PIN