Provider Demographics
NPI:1700779667
Name:MORELAND, CAMREN ALLEN (BSN, RNFA, CNOR)
Entity type:Individual
Prefix:
First Name:CAMREN
Middle Name:ALLEN
Last Name:MORELAND
Suffix:
Gender:M
Credentials:BSN, RNFA, CNOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3284 ELK LN
Mailing Address - Street 2:
Mailing Address - City:GRANTS PASS
Mailing Address - State:OR
Mailing Address - Zip Code:97527-9190
Mailing Address - Country:US
Mailing Address - Phone:918-284-3980
Mailing Address - Fax:
Practice Address - Street 1:1601 NW HAWTHORNE AVE
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97526-1041
Practice Address - Country:US
Practice Address - Phone:541-472-4880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202209929RN163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant