Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD60587379 | WA |
N | 2080A0000X | Adolescent Medicine | 72498 | GA |
N | 2080P0204X | Pediatric Emergency Doctor | MD60587379 | WA |
NPI | 1215220934 |
---|---|
Provider Name | Jior S. Cameron |
First Address | Tacoma, WA 98405-4265 |
Second Address | Tacoma, WA 98405-3720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2011 |
Last Update Date | 31/03/2021 |