Provider Demographics
NPI:1285627620
Name:RAMEY, BRENDEN B (MD)
Entity Type:Individual
Prefix:
First Name:BRENDEN
Middle Name:B
Last Name:RAMEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:849 PACIFIC AVE
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-1956
Mailing Address - Country:US
Mailing Address - Phone:541-386-6380
Mailing Address - Fax:541-386-1078
Practice Address - Street 1:425 E 7TH ST
Practice Address - Street 2:
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058-2607
Practice Address - Country:US
Practice Address - Phone:541-296-4610
Practice Address - Fax:541-296-5813
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD25561207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
130717Medicare ID - Type Unspecified
H33247Medicare UPIN