# I CAMERON ENTERPRISES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023624681
- **Authorized official:** IVY CAMERON RN (OWNER)
- **Authorized official phone:** (509) 430-5885

## Contact information

- **Practice address:** 5908 BEDFORD ST, PASCO, WA 99301-6605
- **Practice address phone:** (509) 547-4721
- **Mailing address:** 4804 MARIOLA LN, PASCO, WA 99301-8374
- **Mailing address phone:** (509) 430-5885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | — | NULL | — |
| 163WR0006X | Registered Nurse First Assistant | — | — | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | NULL | Yes |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2020
- **Last updated:** 09/24/2020