Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Camille Vidrine

Individual provider Mental Health Counselor · NPI 1811620883

Camille Vidrine is a Mental Health Counselor in Beaverton, Oregon. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2022

Practice location Address checks out

9670 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3307
Phone: (971) 229-4009
Fax: (866) 324-6009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C11308 (OR)

Record details

NPI number1811620883
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 6, 2022
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address7055 Sw Ivy Ln Apt 1, Portland, OR 97225-1151

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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