Provider Demographics
NPI:1689749897
Name:RAMSEY, ROBERT WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WILLIAM
Last Name:RAMSEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 NE 2ND ST
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-7511
Mailing Address - Country:US
Mailing Address - Phone:503-667-6744
Mailing Address - Fax:503-661-7896
Practice Address - Street 1:575 NE 2ND ST
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-7511
Practice Address - Country:US
Practice Address - Phone:503-667-6744
Practice Address - Fax:503-661-7896
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR272999111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR93-1285477OtherTIN
ORU78694Medicare UPIN
OR93-1285477OtherTIN