Provider Demographics
NPI:1033248042
Name:CRAMER, ERIN LEE (PA-C, ATC)
Entity Type:Individual
Prefix:MR
First Name:ERIN
Middle Name:LEE
Last Name:CRAMER
Suffix:
Gender:M
Credentials:PA-C, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 886
Mailing Address - Street 2:
Mailing Address - City:SUBLIMITY
Mailing Address - State:OR
Mailing Address - Zip Code:97385-0886
Mailing Address - Country:US
Mailing Address - Phone:503-769-2259
Mailing Address - Fax:503-769-2659
Practice Address - Street 1:114 SE CHURCH ST
Practice Address - Street 2:
Practice Address - City:SUBLIMITY
Practice Address - State:OR
Practice Address - Zip Code:97385-9714
Practice Address - Country:US
Practice Address - Phone:503-769-2259
Practice Address - Fax:503-769-8049
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAT-AT-1154832255A2300X
390200000X
ORPA150016363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program