IndividualActive
Cameron Goller, FNPC
NPI 1043878648 · Nurse Practitioner · Portland, ME
Provider details
- NPI number
- 1043878648
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNPC
- Sex
- Male
- Sole proprietor
- No
- License
- CNP191112 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
180 Park Ave Ste 1
Portland, ME 04102-2927
Phone: (207) 874-2141
Fax: (207) 874-2164
Approximate (ZIP-level) locationGet directions
Mailing address
180 Park Ave
Portland, ME 04102-2957
Additional practice locations (2)
- 63 Preble StPortland, ME 04101-3014Phone: (207) 874-2141Fax: (207) 874-2164
- 934 Congress StPortland, ME 04102-3032Phone: (207) 874-2141Fax: (207) 874-2164
Registry dates
- Enumerated
- 2019-05-30
- Last updated
- 2025-04-02
- Certified
- 2025-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.