Provider Demographics
NPI:1174086706
Name:TOWNSEN, CAMERON SCOT
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:SCOT
Last Name:TOWNSEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18510 NE 30TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-3609
Mailing Address - Country:US
Mailing Address - Phone:360-852-0667
Mailing Address - Fax:
Practice Address - Street 1:18510 NE 30TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98682-3609
Practice Address - Country:US
Practice Address - Phone:360-852-0667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer