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General NPI Number Information
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NPI Number | 1770709107
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Entity Type | Individual
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Provider Name | IVY M CAMERON APRN-NP
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Gender | Female
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 620 NW 11TH ST STE M106
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City | HERMISTON
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State | OR
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Zip | 97838-6941
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Country | US
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Telephone | 541-667-3801
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Fax | 541-667-3802
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Provider Business Mailing Address
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Address Line | 620 NW 11TH ST STE M106
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City | HERMISTON
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State | OR
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Zip | 97838-6941
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Country | US
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Telephone | 541-667-3801
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Fax | 541-667-3802
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10036510
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | AP60018518
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 10036510
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | RN00071381
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License Number State | WA
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