KAMERON BLACK

PORTLAND, OR
NPI1134708886
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies207R00000X Internal Medicine
(Licence: CA  22588)
Enumeration Date2021-04-07
Last Update Date2024-04-29
Business Address
KAMERON BLACK DO
3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Phone number: 503-494-8211
Mailing Address
KAMERON BLACK DO
300 PASTEUR DRIVE ROOM HC435
STANFORD, CA 94305
Phone number: 650-723-5948