Provider Demographics
NPI:1952813909
Name:BEERS, CAMILLE SUZANNE (DC)
Entity Type:Individual
Prefix:
First Name:CAMILLE
Middle Name:SUZANNE
Last Name:BEERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CAMILLE
Other - Middle Name:SUZANNE
Other - Last Name:BEERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:495 OLNEY AVE
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:OR
Mailing Address - Zip Code:97103-5524
Mailing Address - Country:US
Mailing Address - Phone:503-440-1303
Mailing Address - Fax:
Practice Address - Street 1:495 OLNEY AVE
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:OR
Practice Address - Zip Code:97103-5524
Practice Address - Country:US
Practice Address - Phone:503-440-1303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-31
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5856111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor