Individual
MR. ERIN LEE CRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
114 SE CHURCH ST, SUBLIMITY, OR 97385-9714
(503) 769-2259
(503) 769-8049
Mailing address
PO BOX 886, SUBLIMITY, OR 97385-0886
(503) 769-2259
(503) 769-2659
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT-AT-115483
OR
363A00000X
Physician Assistant
Primary
PA150016
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/05/2007
Last updated
05/18/2021
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