Individual
DANIELLE LYNN KRAEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # BTE119, PORTLAND, OR 97239-3011
(503) 494-1164
(503) 494-5502
Mailing address
3181 SW SAM JACKSON PARK RD # BTE119, PORTLAND, OR 97239-3098
(503) 494-1161
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA188758
OR
363AM0700X
Medical Physician Assistant
Primary
PA188758
OR
Other
Enumeration date
09/23/2016
Last updated
12/23/2020
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