Provider Demographics
NPI:1689991655
Name:KRAMER, ZACHARIAH (MD)
Entity Type:Individual
Prefix:MR
First Name:ZACHARIAH
Middle Name:
Last Name:KRAMER
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 1:700 LINCOLN ST STE 100
Mailing Address - Street 2:LONGVIEW RADIOLOGISTS
Mailing Address - City:KELSO
Mailing Address - State:WA
Mailing Address - Zip Code:98626-1062
Mailing Address - Country:US
Mailing Address - Phone:360-425-5131
Mailing Address - Fax:
Practice Address - Street 1:700 LINCOLN ST STE 100
Practice Address - Street 2:LONGVIEW RADIOLOGISTS
Practice Address - City:KELSO
Practice Address - State:WA
Practice Address - Zip Code:98626-1062
Practice Address - Country:US
Practice Address - Phone:360-425-5131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD1549462085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology