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Active NPI 1457570293 Individual Practitioner Female Practitioner

Mary L Camacho , LICENSED PRAC NURSE

Licensed Practical Nurse • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Mary Camacho, LICENSED PRAC NURSE is a registered healthcare professional specializing in Licensed Practical Nurse in Vancouver, WA. Practice services are available at 2009 NE 117TH ST STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2009 Ne 117th St Ste 101

Vancouver, WA 986864022

Telephone 3605669112
Fax 3605669133
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
102 Specialists

Practicing in Vancouver, WA (1730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA LPN00012716

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Ken Davis , BSW, CDP

Counselor - Addiction (Substance Use Disorder)

NPI 1013436138

Bachelor of Social Work, CDP

Aubrey Bowen

Licensed Practical Nurse

NPI 1073082475
Brittany Fraidenburg , RN

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1104300276

Registered Nurse

Lauren Wesockes

Counselor - Addiction (Substance Use Disorder)

NPI 1194587790
Carrie Grove , MAC

Counselor - Mental Health

NPI 1265955645
James Jones , RN

Registered Nurse

NPI 1295291946

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2009 NE 117TH ST STE 101, VANCOUVER, WA 986864022 (Tel: 3605669112)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 5677, VANCOUVER, WA 986685677 (Tel: 3602549311)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARY CAMACHO, LICENSED PRAC NURSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Licensed Practical Nurse (License #LPN00012716 in WA)

🟢
Initial NPI Registration & Enumeration April 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457570293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 5677

Vancouver, WA 986685677

Phone: 3602549311

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.