Basic Information
Provider Information
NPI: 1255455929
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMSAY
FirstName: CAMERON
MiddleName: A.
NamePrefix: MR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 3777
Address2:  
City: PORTLAND
State: OR
PostalCode: 972083777
CountryCode: US
TelephoneNumber: 5034133900
FaxNumber: 5034133710
Practice Location
Address1: 19250 SW 65TH AVE STE 265
Address2:  
City: TUALATIN
State: OR
PostalCode: 970627747
CountryCode: US
TelephoneNumber: 5034137162
FaxNumber: 5036922101
Other Information
ProviderEnumerationDate: 03/19/2007
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0011XMD155778ORY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

ID Information
IDTypeStateIssuerDescription
50065665205OR MEDICAID


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