Individual provider · Type 1 NPI

Serena Leigh Connie Camarillo

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1114804820 Active

Practice location

8425 N Lombard St
Portland, OR 97203-3728

Call (503) 283-4776 Map

Fax (503) 283-0716

Mailing address

5026 N Harvard St Unit A
Portland, OR 97203-4499

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114804820

Serena Leigh Connie Camarillo's National Provider Identifier is 1114804820, issued on Aug 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Aug 18, 2025.