Provider Demographics
NPI:1639475684
Name:TRAMMELL, SABINA GAY (BS)
Entity Type:Individual
Prefix:
First Name:SABINA
Middle Name:GAY
Last Name:TRAMMELL
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4941 NE 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97211-5709
Mailing Address - Country:US
Mailing Address - Phone:503-282-3296
Mailing Address - Fax:503-282-3290
Practice Address - Street 1:4941 NE 17TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97211-5709
Practice Address - Country:US
Practice Address - Phone:503-282-3296
Practice Address - Fax:503-282-3290
Is Sole Proprietor?:No
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health