Provider Demographics
NPI:1619076395
Name:DRAMOV, ROB ANTHONY (ND)
Entity Type:Individual
Prefix:DR
First Name:ROB
Middle Name:ANTHONY
Last Name:DRAMOV
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9735 SW SHADY LANE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223
Mailing Address - Country:US
Mailing Address - Phone:503-639-6454
Mailing Address - Fax:503-639-6584
Practice Address - Street 1:9735 SW SHADY LANE
Practice Address - Street 2:SUITE 104
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223
Practice Address - Country:US
Practice Address - Phone:503-639-6454
Practice Address - Fax:503-639-6584
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1127175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath